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Unspeakable congratulations
On March 20, a 24-year-old woman gave birth to five twins at Tai'an Central Hospital in Shandong Province, of which Dabao was an older sister and the remaining four were younger brothers.
It is reported that after the pregnancy, the woman was admitted to the intensive obstetric ward at about 27 weeks. Even so, it was difficult to persist until 32 weeks of pregnancy, and the hospital decided to have a cesarean section. In the end, 5 twins were born smoothly.
The father of the five twins said on the social platform that the eldest daughter weighs 1230 grams, the second son weighs 1140 grams, the third son weighs 1200 grams, the fourth son weighs 1400 grams, and the fifth son weighs 1230 grams. All are early preterm infants and are currently in the neonatal intensive care unit and need further observation and treatment.
Source: Xiaoxiang Morning News
Such a blessing do you want to have?
This is not the first time in the country that 5-twins have been reported. Last year, the media also reported that an 18-year-old woman in Henan was even pregnant with 8 twins!
Every time such news comes out, Jie Mei is both happy and worried about their 3.
After all, multiple births, the risk of childbearing is much greater than that of singletons.
For maternity:
According to research, multiple births will increase the complications of pregnant mothers by 7 times compared with single pregnancies, including hyperemesis gravidarum, gestational diabetes, gestational hypertension, anemia, bleeding, caesarean section, postpartum depression, etc.; the recovery of multiple mothers after childbirth is also relatively difficult, and the belly that is over-opened, the lax pelvic floor muscles, if not restored in time, will affect her future quality of life.
For the fetus:
Multiple pregnancies increase the risk of fetal and infant mortality, complications of preterm birth increase the risk of stillbirth by about 5 times, and the risk of neonatal death by 6 times! According to a number of studies, the survival rate of ultra-preterm infants aged 23-24 weeks is 50%, and about 4%-25% of them will have white matter damage, and the risk of sequelae such as cerebral palsy, developmental delay, hearing impairment, and visual impairment is extremely high, and the rescue cost is high, and people may be empty at any time.
Data from the Chinese Journal of Contemporary Pediatrics in 2017 showed that among premature babies with a gestational age of < 28 weeks, the rate of abandonment of treatment reached 34%.
Therefore, according to the relevant regulations of the mainland, the multiple pregnancy reduction surgery must be carried out selectively by a institution with selective fetal reduction conditions; for multiple pregnancies, it is necessary to implement the reduction surgery, avoid twins, and strictly prohibit the delivery of three or more pregnancies.
As for which one to keep, the doctor will generally choose according to the location of the gestational sac, the size of the embryo, and the site of the placenta attachment, and the fetal reduction surgery generally does not cause damage to the mother and the retained gestational sac. In Hebei, there was a case of a pregnant woman who took anti-pulsation drugs and was pregnant with octopus, and finally gave birth smoothly after losing 6 births.
How to reduce the risk of having multiple births
▌ Avoid abusing ovulation-stimulating drugs
In the case of natural conception, the probability of 5 twins is very small. But if you take ovulation-inducing medications, the probability of having multiple babies increases dramatically.
At present, commonly used drugs for inducing ovulation in clinical practice include letrozole and clomiphene. The regular use of ovulation induction drugs, during the stimulation of ovulation, the doctor will closely monitor, in the development of 3 or more follicles mature, will cancel the ovulation cycle, so under normal circumstances, there are very few triplets and above.
If ovulation induction drugs are abused, although the evidence-based evidence indicates that the ovulation drugs themselves do not affect the health of the offspring, due to the excessive number of pregnant fetuses, the probability of miscarriage, malformations, etc. will be relatively high, and the risk of pregnant women will also increase significantly.
▌ Grasp the optimal age for childbearing
In addition, I would like to emphasize that women should grasp the optimal age of childbearing and do not recommend pregnancy too early or too late.
Studies have shown that as women's age and birth attendance increase, so does the incidence of multiple pregnancies. However, after more than 35 years of age, with the increase of age, the ovarian function of women begins to decline, the reproductive function is also declining rapidly, and the possibility of fetal malformations is also relatively large.
Before the age of 20, women are still in the development stage, especially the gonads and reproductive organs are not yet fully mature, prone to pregnancy hypertension syndrome, the fetus may be delayed in intrauterine development, and the production process is also more likely to have labor stagnation, bleeding and fetal distress.
Therefore, medically, it is recommended to grasp the golden age of childbearing from 25 to 34 years old. At this time, women's bodies and psychology are more mature, and there will be better economic protection.
This article was first published: Medical Sciences Obstetrics and Gynecology Channel
Author: Red bean barley
This article is reviewed: Gu Zhuowei
Editor-in-Charge: Ichikawa