Antepartum and Intrapartum Management of Twin Pregnancies

Double Trouble

Antepartum and Intrapartum Management of Twin Pregnancies

It takes two

The different types of twins must first be discussed, fraternal and identical, as well as what makes these pregnancies different from a single child birth.

Then we can discuss the Antepartum responsibilities of the nurse to a mother carrying twins, as well as the complications they may face.

Lastly, we will discuss our responsibilities during the birth (Intrapartum) and any complications likely to arise.

The problems faced by mothers carrying twins (or more) may seem extra troubling, but they’re known and can be addressed in a way that keeps the mother and twins safe.

A pregnancy involving multiple children differs from single child pregnancy in many substantial ways. It’s important to get additional information so that the pregnancy can continue safely. Knowing the type of twin, as well as the other considerations unique to twins are vital for the nurse to care for the patient. Twin pregnancies have been on the rise in the past few decades in both the U.S. and Europe. Today, around 2–3% of all births are twins. The rate of c-sections for twins is increasing globally. A patient carrying twins is at risk for both preeclampsia and peripartum cardiomyopathy. This risk is increased in mothers that are also: diabetic, obese, have had multiple pregnancies, or are of advanced maternal age. The placenta in twin pregnancies is larger,, thus secreting a larger volume of antiangiogenic factors, causing increased levels of mediators and inflammatory factors.

Twinning!

Complications

Nursing considerations

Antepartum

Complications

Nursing Considerations

Intrapartum

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