The perinatology branch, which determines risky situations during pregnancy and plans pregnancy follow-up and necessary treatment accordingly, is of great value for women who have a risky pregnancy. Stating that all women should be evaluated by a perinatologist during pregnancy and, if necessary, before pregnancy, Perinatologist Prof. Dr. A. Nuri Danışman, “The beauty status of the mother and the fetus (the baby in the womb) should be kept under control during the pregnancy process and the perinatal period, including the prenatal 12 weeks and the first six-week postpartum period, with the expectant mothers with risk factors and planning pregnancy. Especially in order to reveal the problems that may occur in multiple pregnancies, it should be screened and diagnosed much earlier,” he said.
The discipline of perinatology, which aims to create healthy generations and healthy societies with a ‘safe pregnancy, safe birth’ perspective, is of great importance in the management of risky pregnancies. Risk factors such as hypertension during pregnancy, diabetes, bleeding during childbirth, premature labor-birth and consanguineous marriages cause frequent obstetric problems. Today, multiple pregnancies are also more common, as assisted reproductive treatment formulas such as in vitro fertilization are widely applied. Although the study area of risky pregnancies varies according to the rules of each country, the problems of multiple pregnancy come in the first place forever.
TWIN PREGNANCY PROCESS MUST BE CONDUCTED BY A PERINATOLOGY SPECIALIST
In particular, multiple pregnancies where two or more babies are expected are at the top of the definition of risky pregnancies. In multiple pregnancies, babies, if everything progresses without any problems, are usually 26-28 as single babies. Stating that it was able to grow in a similar way until the next week, but possible issues started to appear afterward, Türkiye İş Bankası affiliate Bayındır Söğütözü Hospital Perinatology Specialist Prof. Dr. A. Nuri Danışman, “If possible, all follow-ups, if the rules do not allow, first and second trimester screenings should definitely be done by a perinatology specialist, and then at least the process close to birth should be managed in a center with a perinatology specialist.” said.
RISKS COMMON IN MULTIPLE PREGNANCY
Although it is thought that the mother-baby risks in twin pregnancies will double, in fact, this rate may increase up to seven times. Dr. A. Nuri Danışman, “Premature movement and delivery, gestational diabetes, gestational hypertension, cervical insufficiency, early opening of the water bladder, pregnancy-delivery-postpartum hemorrhages and growth retardation are common risks in multiple pregnancies. Perinatology clinics carry out detailed 1st and 2nd trimester screenings in order to detect such problems that may occur in pregnancies as early as possible and to help them take them under control in a short time. Ultrasonography is the most valuable tool in the follow-up of the perinatologist. First detailed ultrasound examination 12-14. week, and then a follow-up is determined according to the process. Although every mother has the risk of hypertension, diabetes, miscarriage and bleeding, these problems are more common in mothers carrying twins. Perinatologists also try to screen and recognize these possibilities early on. In addition, ultrasonographic monitoring of the cervix-cervix is also important, since the rate of preterm birth is higher than in a single pregnancy.
BE CAREFUL OF NUTRITION IN MULTIPLE PREGNANCY!
Stating that the burden of the expectant mother in multiple pregnancies will be a little more than usual, Prof. Dr. A. Nuri Danışman, “If possible, getting a dietitian’s proposal is beneficial in terms of nutrition system. Although it differs from individual to individual, it is practically true that roughly 40 percent of the food intake consists of fat, 20 percent carbohydrates and 40 percent protein. The value of nutritional bases, especially iron, vitamin D and omega, is also accepted. Unnecessary weight increase in multiple pregnancies is a risk in itself.
BIRTH OF TWIN BABIES
There are always speculations about the method of delivery in multiple pregnancies. The consultant said the following about the bet: “It is a fact that the rate of cesarean section is high in multiple pregnancies. However, especially in fraternal twins where the placentas and amnions are different, both babies have turned their heads to the birth path and if the conditions are suitable, vaginal delivery is expected. After the vaginal delivery of the first baby, even if it is distinguished, intervention or cesarean section may be required for the second baby. Perinatological interpretation is valuable in birth indication.”
