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THE CITIZEN, THURSDAY, JANUARY 5, 2006. PAGE 23.
Multiple births mean more of everything
From more clothes to greater
weight gain, multiples provide twice
or (thrice) the love.
Multiple births are on the rise.
According to the National Centre for
Health Statistics, about three per
cent of babies are born in sets of two,
three or more, and about 95 per cent
of these multiple births are twins.
The reason can be attributed to
women having babies later in life
(after age 30), where chances for
conceiving multiples are higher.
Also, more couples are participating
in fertility-stimulating treatments or
undergoing assisted reproductive
techniques (ART) like in vitro
fertilization (in which eggs are
removed from the mother, fertilized
in a laboratory dish, and then
transferred to the uterus). Of these
procedures, 56 per cent result in
multiples, according to U.S.
statistics.
Although multiples are becoming
more commonplace, many pregnant
women, couples or families know
little about what to expect in regards
to a pregnancy where multiples are
involved. Although each pregnancy
is unique, here are some things you
may expect.
How are multiples conceived?
There are many scenarios for
multiple conceptions. In some cases,
several eggs are fertilized by
different sperm cells. This can result
from the body's release of multiple
eggs (either naturally or as a result of
fertility drugs) or by the
implantation of a few fertilized eggs
during a fertility procedure.
Multiple fertilized eggs produce
dizygotic twins/multiples (fraternal).
When one fertilized egg splits into
two or more, this produces
monozygotic twins/multiples
(identical). -
What are the differences
between fraternal and identical
multiples?
Fraternal multiples are more
common than identical, accounting
for two thirds of all multiple births.
They can also be accredited to
fertility treatments. The cause of
identical multiples is largely
unknown.
Fraternals typically have two
different placentas (the organ that
nourishes the fetus), while identicals
may have one or two. Identical twins
often grow inside one protective sac,
while fraternals may each have their
own sac.
Fratemals share 50 per cent of the
same genetic makeup (roughly the
same per centage of non-multiple
siblings) and can have the same or
unique blood types. Identicals share
100 per cent of the same genetic
makeup, which accounts for their
similar or identical appearance. They
will also have the same blood type.
What are the signs of a multiples
pregnancy?
Some women to not experience
anything out of the ordinary when it
comes to multiples and do not learn
of the news until an ultrasound is
taken. Obstetricians may detect
multiple heartbeats late in the first
trimester with a Doppler system.
However, this is not always
reliable because a single heartbeat
may be detected in several areas of
the mother's abdomen. Women
carrying multiples may have
elevated levels of hCG, the
pregnancy hormone, but this isn't
always a reliable indicator.
An abnormal AFP
(alphafetoprotein) screening, also
known as a triple marker test,
conducted in the second trimester,
may also be a key. Extreme fatigue
from the body feeding more than one
fetus could also result.
Should I expect more morning
sickness?
Only 50 per cent of all pregnant
women experience morning
sickness, say experts, therefore, you
may not experience any at all.
Morning sickness does not directly
relate to the number of fetuses you're
carrying, which is to say more
babies don't necessarily mean more
sickness. What you may expect is
your doctor's insistence that you
consume more calories to feed the
multiples, about 300 extra calories
per fetus.
Also be sure to drink an
abundance of water to stay hydrated
and supply fluid to the fetuses.
Dehydration can cause fatigue,
sickness and possibly push the body
into premature labor.
Are there any risks inherent to
carrying multiples?
When carrying multiple babies,
there is a greater risk of miscarriage
of one or more of the fetuses. That's
Huron Ontario Provincial Police
officers are investigating the recent
theft of a bulldozer.
According to a police report the
incident occurred sometime
between Nov. 4 and Dec. 29
unknown parties came onto a
property on Orchard Line in Central
Huron (Goderich Twp). The thieves
then stole a 1960 John Deere model
420, bulldozer.
The machinery was green and
yellow in colour and contains a two-
cylinder motor with no blade.
If you have any information that
can assist the police with this or any
because chromosomal abnormalities
- the culprit in most miscarriages -
are higher when multiples are
present, according to
BabyCenter.com , an on-line
parenting resource. There is also the
risk of going into preterm labor.
Here are some other concerns:
• Fetal growth restriction: When
one or both twins isn't growing at the
proper rate. This may cause the
babies to be born prematurely or at a
low birth weight. Up to almost half
of pregnancies with more than one
baby have this problem, compared
with slightly more than 10 per cent
of single pregnancies.
• Placental abruption: This is a
•condition when the placenta
detaches from the uterine wall
before delivery. It is also more
, common when you're carrying more
than one baby.
But the condition is mostly linked
to malnutrition and smoking, and is
rare in well-nourished expectant
mothers.
• Pre-eclampsia: This is a
pregnancy-induced high blood
pressure disorder that develops in
about 10 to 20 per cent of women
carrying twins - twice the rate in
women pregnant with one baby. The
condition also tends to develop
earlier and be more severe in women
carrying twins or more babies.
What type of special care should
I expect?
If your pregnancy goes on without
a hitch, expect to receive the same
advice mothers of singletons receive.
This includes participating in
activities in moderation, eating in
moderation, and recognizing any
symptomr-of complications - pain,
cramping, bleeding, etc. - early on.
If you are having complications,
your doctor may prescribe
medications or bed rest. In most
cases, once you pass the 36th week
investigation, please call the OPP or
CRIME STOPPERS at 1-800-222-
8477. (1-800-222-TIPS).
CA H 9 AVI GS
ON $4.00 THURSDAYS
Drop into either of our offices any
Thursday with your word classified
(maximum 20 words) and pay only
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The Citizen
Canadian Societe
Cancer canadienne
Society du cancer
of pregnancy, many doctors consider
you out of the danger zone.
Will I need a cesarean section?
In many cases, twins are delivered
vaginally. However, triplets and
multiples of higher number's are
commonly delivered by cesarean
section, through an incision in the
mother's lower abdomen and
uterus.
The Brubachers of Ethel
Restaurant & Bakery
Real Home Cooking
Fry our Cinnamon Buns
Mon. - Fri. 7-6:30;
Sat. 8-6:30, Sunday Closed
887-8659
OPP investigate
theft of bulldozer
• be a non-smoker
• eat 5-10 servings of vegetables
and fruit a day
• be physically active
• limit your alcohol consumption
• use sun protection
• follow cancer-screening
guidelines
Find out MORE about reducing
your risk of developing cancer.
Call us at 1 888 939-3333 or
visit www.cancer.ca .
Open House .
2-4 pm
January 8, 2006
Londesboro Hall '
• "Vow* p,lieaesce la
Baas gift"
Love from
your family
Ito
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422 Queen St., Blythe ON
Tel.: 523-9381 Fax: 519-523-9828
blythInnObellnet.ce
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Paul Anthony, Hypnotist
Dinner & Show - January 28