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Multiple births (birth of 4, birth of 5 children) spontaneously or by assisted reproduction are both very rare cases in obstetrics and often have complications affecting the health of both mother and child.To understand more about measures to take care and ensure safety for pregnant women and their unborn babies, listen to Dr. Nguyen Dinh Troi, Doctor - Department of Obstetrics and Gynecology, Vinmec International General Hospital share about the information. news above.
1.
Doctor, multiple births (4th birth, 5th birth) are very rare in Vietnam, aren't they? And what advice do doctors have for women who are found to have multiple pregnancies?
Multiple pregnancies, 4-5 pregnancies are very rare and are often the product of assisted reproduction (infertility cases are in vitro fertilization). Personally, I have been working in obstetrics and gynecology for nearly 40 years and have only met 1 birth of 4 in Hanoi, born on April 17, 1977 (the children's names are North, South, Thong, Nhat) and the birth 5 in Ho Chi Minh City is the first case I know in Vietnam.
Cases of multiple pregnancies with 4 or more babies need to be detected early by a doctor and given timely advice. Usually doctors will advise women to reduce the number of pregnancies to one or two to be safest for mother and baby.
At Vinmec, all pregnant women are carefully monitored and examined during pregnancy. Particularly for the case of twins (including natural pregnancy and IVF), a very close monitoring regime must be applied from pregnancy until delivery and can apply vaginal birth or delivery. Caesarean section depends on the pregnancy status of the pregnant woman. Usually, interventional cesarean section will be applied to bring safety to mother and baby.
2. Please tell me the risks and possible complications for women carrying multiples during pregnancy?
There are many complications that women carrying multiples can experience during pregnancy. The most common complications are Twin-to-twin transfusion syndrome; Early miscarriage, threatened premature birth, premature delivery, premature rupture of membranes; complications during delivery: postpartum uterine atony and risks for preterm babies: Low birth weight, respiratory failure and other complications after birth. These are undesirable complications, but if they occur, they will be very dangerous, even taking the lives of the mother and the fetus.
3. So to ensure the safety of health and life of the mother and fetus as well as reduce the maximum risk of complications, according to the doctor, what measures should be taken to intervene?
Because women carrying multiple pregnancies have a high risk of complications, as I mentioned above, doctors will usually advise women to reduce the number of pregnancies to one or two to be safest for mother and child.
At Vinmec Obstetrics Department, with twin pregnancies, there is always a closer pregnancy management care regime, especially in the 3rd stage of pregnancy (the last 3 months of pregnancy). In particular, early detection of twin-twin transfusions, indications for the use of lung maturation drugs for the fetus and monitoring of early signs of threatened delivery with mornitor (fetal heart monitor, uterine contractions).
4. The doctor can introduce the highlights of the Obstetrics and Gynecology Department - Vinmec International General Hospital
Vinmec's Obstetrics and Gynecology Department brings together a team of highly qualified and experienced doctors from various diseases. A large hospital in Vietnam, along with nurses who are very experienced in delivering and taking care of pregnant women.
Vinmec is also a hospital equipped with the most modern facilities, medical equipment and technology in Vietnam, so it ensures to provide the best services for pregnant women. In particular, Vinmec is also the place with the best sterile conditions, all births are conducted with absolute pain relief.
Not only that, Vinmec is the only facility that has a synchronous coordination between obstetricians, neonatologists and paediatricians to be able to monitor the fetuses from the time they are still in the mother's womb. The unfortunate cases of birth defects are coordinated care between the most qualified specialists.
In addition, we also organize antenatal classes for mothers to have knowledge of taking care of their babies as well as taking care of themselves, especially exercises to restore pelvic muscles after birth.
Thank you doctor!
