Pregnancy with twins, 28 weeks. Death of One Fruit

Health of mother and twins

As soon as a woman is diagnosed with twins, she needs to carefully monitor her health and visit the doctor managing the pregnancy several times more often than those who are expecting one baby. It becomes especially difficult for the expectant mother when the 17th week of pregnancy begins. The twins begin to grow and develop rapidly. If during a normal pregnancy during this period a woman flies and rejoices at the belly that has just appeared, then mothers who are expecting two children can already boast of quite large volumes.

Multiple pregnancy can be determined not only by ultrasound, but also by a gynecologist even at the first appointment, since the size of the uterus exceeds the norm. However, these signs become obvious only towards the end of the first trimester. At the 17th week of pregnancy, twins begin to grow rapidly, there is no doubt left. The uterus quickly increases in size and begins to put pressure on other organs.

When can you feel twins move?

The most important information about the child during pregnancy is carried by the movements of the baby or babies, in case of multiple pregnancy. When do two babies start moving in mom’s tummy?

Of course, twins, as well as one baby in the womb, begin to move at 8–9 weeks. They begin after the final formation of the legs and arms.

The movements of twins can be felt at the same time as in a singleton pregnancy at about 18 - 20 weeks, but mothers who have already given birth can feel the movements of their babies much earlier - at about 16 weeks.

But these are average statistical data, of course, everything, first of all, depends on the physique of the expectant mother and her weight. If the pregnant woman is thin, then she will feel movements earlier than a curvaceous expectant mother. Everything is strictly individual.

How should a mother take care of herself when carrying twins?

Carrying twins to term is not at all easy, since from the moment of conception such a pregnancy is considered problematic and belongs to the risk group for both mother and babies. During the 17th week of pregnancy with twins, you can confidently determine whether both babies will survive or just one, and also find out what the risks may be during childbirth and in the future.

Starting from the 17th week, a pregnant woman begins to feel significant stress on the heart, circulatory system, kidneys and legs. The heart works with 50-60% overload, so doctors recommend more rest at 17 weeks. Twins require constant intake of vitamins, which can only be taken as prescribed by a doctor. During this period, the gums may begin to bleed, significant vaginal discharge will appear, and sweating will increase. However, do not be alarmed, since at 17 weeks with twins this is considered normal.

It is also important to monitor your diet, exclude everything fried, smoked, salted, pickled, eat small portions, but often. It is especially important to give up salt. At week 17, twins begin to actively develop, and a significant load appears on the kidneys, which can lead to the development of chronic diseases and edema. During pregnancy with twins, doctors advise to rest more, then there will be less movement and fluid circulation will decrease.

Pregnancy with twins week by week shows that the female body gains weight much faster than when carrying one child. This is why doctors often prohibit drinking a lot of liquid, especially at night, and strictly following a diet for pregnant women. Women pregnant with twins are seen at the antenatal clinic in an individual group, where appointment times and a list of tests and examinations differ from those recommended for a normal pregnancy.

Your unborn baby is 28 weeks pregnant

Congratulations on the beginning of the 28th obstetric week of pregnancy!
You are already a full 7 months pregnant, and the eighth month begins next week. Time flies very quickly, doesn't it? What happens at 28 weeks? Fetal development is in full swing, but the main organs and organ systems are already fully formed and functioning perfectly. When your unborn child is not sleeping, he opens his eyes and even blinks, looking around.

The fetus continues to accumulate fatty tissue, and its weight continues to increase.

Most likely, the baby is already lying head down , however, if this is not the case, he still has plenty of time to prepare for childbirth and position himself in the uterus as it should be.

Science does not know at what age children begin to dream . However, the brain activity of the fetus during sleep follows the same phases as the brain activity of the child, which means that he may already be able to dream.

If the baby is born at the end of 28 weeks , he has a 95% chance of survival (this figure may vary depending on the causes of preterm birth). The size of the fetus at 28 weeks of gestation can be compared to the size of a cabbage head. Its length from crown to toes is about 38 cm, and its weight is approximately 1100 g.

How you feel at 28 weeks pregnant

The height of the fundus of the uterus , measured with a centimeter tape, is usually equal to the gestational age. So, at 28 weeks of pregnancy, the fundus of the uterus is located approximately 28 cm from the upper edge of the pubic bone.

In the third trimester of pregnancy, many women note memory deterioration , a decrease in the ability to concentrate, and solve everyday problems. This is normal and is associated with a change in the emotional state of the pregnant woman, with preparation for childbirth , and the stress associated with this event.

Another unpleasant symptom at this stage is frequent trips to the toilet. Sometimes it may seem to you that your baby is dancing on your bladder, and going to the toilet 3-4 times a night has already become the norm for you. Most likely, this situation will not change until the birth.

Don't forget to pay attention to the baby's movements : they should be regular. If it seems to you that the child has not moved for a long time , eat something sweet and lie down on your left side. Usually, these manipulations make the baby wake up and please his mother with a few kicks.

Twins at 28 weeks pregnant

At this stage, your belly has already reached a large size, and it may seem to you that you have been pregnant for an eternity. This week you should think about setting up a nursery for your future babies. If you haven't purchased a crib or stroller yet, now is the time to take care of it. For the first few months of life, twins can sleep in the same crib, but this trick won’t work with a car seat and stroller. You should purchase two separate car seats and a double stroller .

Also think about who will help you for the first time after childbirth . Remember that labor can begin at any time, and if you have other children, you should enlist the support of family and friends who can look after the children while you are in the hospital.

Tips for the expectant mother

Many expectant mothers are worried about the health of the fetus. But in order to make sure that everything is fine with the unborn child, frequent ultrasounds or other examinations are not needed. Regular fetal movements are the best indicator of its well-being.

Starting from the 28th week of pregnancy, a woman should feel fetal kicks every day. It is from this week that doctors recommend counting movements. There are several ways to count fetal movements:

• Count up to 10 movements

Count your movements from 9 am to 9 pm. Normally, during this period of time, a pregnant woman should count at least 10 movements . If there are less than 10 movements within 12 hours, contact your doctor immediately.

• We count movements for an hour

Count every fetal movement (including short kicks, smooth movements, etc.) for one hour. Normally, there should be at least 6 movements . If you count less than 6 movements within an hour, then eat something sweet (or drink juice, sweet tea) and lie down on your left side. For the next hour, continue to count the movements. If there are less than 6 movements within 2 hours, contact your doctor immediately.

Features of the development of twins at 17 weeks of pregnancy

At 17 weeks of pregnancy, the growth of one fetus reaches 18 cm and weight – 200 grams. To fully know about the development of her babies, a woman needs to monitor her twin pregnancy week by week. So, at week 17, babies have already formed all their organs, they begin to master their first reflexes - they learn to blink, swallow and suck a finger. Many doctors advise considering a twin pregnancy week by week and following the advice of specialists. This will help maintain pregnancy and facilitate childbirth.

At the age of 17 weeks, babies can already react to loud sounds and bright light that is visible through the mother’s skin. They begin to move actively, shocks can be made throughout the day. Since twins are born earlier than expected, 17 weeks is a little less than halfway.

First pregnancy with twins: when can you feel movements?

As a first-time mother of twins, I was able to feel my babies moving at 20 weeks of pregnancy . This period of pregnancy is designated as the standard for the first sensations of babies in the uterus. During your first pregnancy, you should not expect a miracle before this time. Many mothers cannot recognize the arms and legs of their babies in their bellies, even after crossing the 5-month mark of pregnancy. Therefore, do not rush things and do not worry.

Reasons for conceiving twins

Many pregnant women with twins are interested in the question of why multiple conceptions occurred during conception. This is also important in order to understand how a twin pregnancy progresses. The main reason is heredity. Those whose family has already had multiple pregnancies are much more likely to have twins. That is why you need to find out how a twin pregnancy progresses before conceiving. Sometimes multiple pregnancies occur when conception occurs immediately after discontinuation of hormonal medications. This is due to the fact that in one cycle two eggs can mature and be fertilized at the same time. It is also important to know how pregnancy with twins proceeds for women who want to get pregnant at the age of 35-39 years. Before the onset of menopause, a surge of hormones occurs, which helps several eggs mature at once.

25–28 weeks

By this time, twin children have formed eyeballs. They can open and close their eyes, distinguish between light and dark. A pupillary reflex appears - the pupil contracts when exposed to bright light and dilates in the dark.

The adrenal cortex begins to produce hormones. These are biologically active substances that help babies overcome the stress experienced during childbirth.

The brain is actively growing and developing. New connections are established between neurons, reflex arcs are formed, and the convolutions of the brain deepen.

How to diagnose multiple pregnancy?

A gynecologist can determine twins at the first appointment. He should tell you what the peculiarities of pregnancy with twins are, how gestation will proceed, and what is the difference between such a pregnancy. At 12 weeks, the first ultrasound is scheduled, sometimes the doctor advises doing the examination much earlier - at 6 weeks.

After the first ultrasound, which identified two fruit eggs, one of them may die. This happens in 15% of cases. Another feature of twin pregnancy is that it is necessary to identify all possible complications as early as possible and resolve issues of delivery. As a rule, such features of a twin pregnancy are determined by the 17th week, and the doctor leading the pregnancy should report this. Biochemical indicators are also important, which will help exclude chromosomal and genetic disorders.

Twins or twins

There are two types of twins: monozygotic or dizygotic:

• Monozygotic (identical) twins involve the birth of very similar babies (twins). They come from one egg and have one set of chromosomes. The egg divides early in its development. With such a pregnancy, children of the same sex are born
• Dizygotic (fraternal) twins develop when two eggs are fertilized by two sperm and have a different set of chromosomes. As a result of such a pregnancy, babies of different sexes may be born. Twins do not imply strong similarities between children

Monozygotic and dizygotic twins
In general terms, a twin pregnancy is no different from a singleton pregnancy, but still has its own characteristics. First of all, you should understand the types of twins.

Children born from a same-sex pregnancy may be identical or fraternal twins. The second name for fraternal twins is fraternal twins. Such babies are born after two eggs are fertilized at the same time. They have different genetic makeup and can be completely different in appearance. Twins always have two amniotic membranes; each baby has its own placenta.

Identical twins, or simply twins, develop as a result of the division of one fertilized egg into two parts. Such babies have the same set of genes, so they are always the same sex and identical in appearance. Depending on the number of amniotic structures, twins can be:

• bichorionic biamniotic - each child has its own chorion and amnion, division occurs 1–3 days after conception;
• monochorionic biamniotic - children have a common placenta, but each of them has its own amnion, division occurs 3–8 days after conception;
• monochorionic monoamniotic - division occurs on days 8–13 of fetal development; babies have a single system of provisional organs.

Regardless of what type of twin a woman is carrying, a normal twin pregnancy proceeds almost the same as a singleton pregnancy.

Problems that arise when carrying twins at 17 weeks of pregnancy

The main problem is the stress on the mother’s body, which when carrying two children increases by 20% compared to pregnancy with one child. Feelings during pregnancy with twins can be very different, but in most cases, from 17 weeks, the load increases, it is difficult for a woman to move and choose a sleeping position. Anemia often develops, which leads to such sensations during twin pregnancy as weakness and drowsiness. This indicates depletion of iron reserves in the mother's body. In this case, be sure to take iron-containing medications, as well as regularly take blood tests to check your hemoglobin level. Another problem that can cause discomfort during pregnancy with twins is gestosis: swelling, the appearance of protein in the urine, increased blood pressure. This is the cause of toxicosis and various complications.

Despite all the difficulties that a mother carrying twins has to overcome, this period remains in her memory the most unusual and magical.

What determines the activity of twins, why there are no movements

Time of day - babies are already developing their own life rhythms, which may not coincide with yours, and the bulk of movements occur at night, when you are sleeping. Mom's physical activity reduces the activity of babies. It’s a paradox, but when a woman in labor moves a lot, the babies become quiet. Insufficient nutrition of the expectant mother also reduces the activity of the fetus. Stress causes babies to slow down their maneuvers. Loud ambient sounds - babies get scared and sit in their mother’s belly like mice.

If you still have questions about twins’ movements, then let’s discuss them in the comments.

Based on materials:

http://beremennostvradost. ru/mnogoplodnaja-beremennost/20-nedelja-beremennosti-dvojnej-shevelenija. html

http://www. happy-giraffe. ru/community/2/forum/post/11872/

http://beremennost9m. ru/mnogoplodnaja-beremennost/pervoe-shevelenie-dvojni-beremennosti-dvojnej. html

Http://xn--b1adqqd8h. com/%D0%B1%D0%B5%D1%80%D0%B5%D0%BC%D0%B5%D0%BD%D0%BD%D0%BE%D1%81%D1%82%D1%8C -%D0%B4%D0%B2%D0%BE%D0%B9%D0%BD%D0%B5%D0%B9/%D1%88%D0%B5%D0%B2%D0%B5%D0%BB %D0%B5%D0%BD%D0%B8%D1%8F-%D0%B4%D0%B2%D0%BE%D0%B9%D0%BD%D0%B8/

Beauty and accessories

The child takes the maximum of useful substances from the mother’s body. Therefore, it is not surprising that at week 28, some women complain that their hands have become dry and their nails are brittle. Expectant mothers need to regularly use nourishing hand creams (before applying them, carefully read the composition: cosmetics for pregnant women should include mainly natural ingredients!). For brittle nails, a sea salt bath is great. To prepare it you will need 1 tbsp. a spoonful of salt, which must be dissolved in 200 ml of warm water. Dip your fingertips into the solution for 10–15 minutes. Experts recommend doing such baths daily. Two weeks are usually enough to achieve the desired effect.

35–40 weeks

Starting from the 36th week of pregnancy, a psychological generic dominant is launched in a woman’s body. Training contractions, which first appeared at week 30, become longer. The first fetus of twins is pressed with its head against the entrance to the pelvis, causing the fundus of the uterus to descend. A woman's shortness of breath and heartburn are reduced. Due to lack of space, children are not as active as before.

About two weeks before birth, the mucus plug that was covering the cervical canal comes off. As a rule, it has a yellowish tint, sometimes streaked with blood.

The onset of labor is indicated by strong regular contractions lasting at least 1 minute. The normal frequency of contractions is no less than one every 5 minutes. In this case, you should contact your doctor immediately.

In addition, you need to call a gynecologist if your twin pregnancy ends with premature rupture of amniotic fluid or the appearance of bloody discharge from the vagina.

Childbirth during a multiple pregnancy usually occurs earlier than during a normal pregnancy. They should be expected at 36–38 weeks