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How Do Twins That Don’t Look Alike Happen?

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twins that dont look alike
Fraternal twins will always look different from each other

The twin phenomenon is nothing short of fascinating.

The mere fact that a mother conceives multiples is mind blowing by itself, but then you get a unique and delightful surprise when you find out that you gave birth to twins that don’t look alike at all – as in, zilch resemblance! Why and how? It would be interesting to know that the explanation may go beyond being fraternal twins.

Why are there twins that don’t look alike?

The National Human Genome Research Institute explains that some twins may not look exactly alike by looking into the two different types of twins namely, the monozygotic and dizygotic. Monozygotic twins are actually identical twins who come from one and the same embryo.

After fertilization, this embryo divides. Since they come from the same DNA, their genes are a hundred percent identical.

Twins That Dont Look Alike

Dizygotic or fraternal twins, on the other hand, are twins from two eggs that get fertilized by two different sperm cells. This would mean that both siblings share some common DNA.

If, for example, these twins are the same gender, they will not look the same because they don’t share all of their genes. The fetuses have a different genetic constitution. It is also possible that they will be of different genders.

Biracial Twins: Twins that look nothing alike

Biracial Twins are otherwise called “mixed twins.” From a biological perspective, biracial twins are fraternal (dizygotic) twins. They are basically born to multiracial families who differ in various traits and racial features like skin color. This may also be a clear reason why some twins look nothing alike.

There is a small number of genes that are responsible for a human’s skin color. These gene variants (alleles) sets a code for the differences in the melanin within people’s skin.

Some have high frequencies of dark skin gene variants, while others have a high frequency of light skin gene variants. So, when parents of biracial twins are of mixed race, the combination of both light and dark skin gene variants are present.

There are a number of biracial twins who have been featured because of their extraordinary stories. Among these celebrated twins are Marcia and Millie Biggs who was featured by National Geographic on April 2018.

Marcia and Millie’s parents, Amanda Wanklin and Michael Biggs, gave birth to the fraternal twin girls on July 2006 who had some similar features but were very different in the color of their skin.

Marcia inherited her mom’s light brown hair and fair skin while her twin had black hair and brown skin like her father. Their mom Amanda is English, while their father Michael is Jamaican. The twins were definitely used to being asked if they really were twins!

Another story that is equally fascinating is that of fraternal twin sisters Lucy and Maria Aylmer. The twins are actually the youngest among the five siblings in the family. Find out more about their story in the video that follows.

According to statistical geneticist Alicia Martin, when a biracial couple has fraternal twins, their twins’ traits would depend on different things like where the ancestors of their parents are from, as well as the complexity of pigment genetics.

Superfetation: An unusual and rare type of twinning

Superfetation happens when a woman who is already pregnant, becomes pregnant again. If we look into this further, superfetation happens when ova from two different menstrual cycles are released, fertilized and then implanted in the woman’s uterus. In normal conditions this is not possible.

Once an ovum is implanted, hormones would stop the process of causing another ovulation, preventing the release of yet another egg. But in the case of superfetation, these norms aren’t really so. So, instead of just conceiving one baby, there can be a second fetus from the succeeding menstrual cycle.

But even if the fetuses develop at the same time, they differ when it comes to maturity because they may have been conceived days or weeks apart. But again, note that superfetation is a very rare occurrence.

Superfecundation: Twins with different fathers

Yet another reason why twins do not look similar is that they have different fathers. This is called superfecundation and can only happen to fraternal twins.

Specifically, when a woman’s eggs are fertilized by sperm from different men from different incidences of sexual intercourse, superfecundation or heteropaternal superfecundation happens. Paternity testing will reveal who the biological fathers of the twins are.

Another explanation as to how superfecundation happens is related to fertility treatments. An example of this is the case of Dutch twins Koen and Tuen Stuart. These twins are a result of IVF or in vitro fertilization. At the lab, there was quite a mixup where equipment was used twice, so another man’s sperm was mixed with the father’s.

Fact: Even identical twins don’t always look exactly alike

It has been proven that even identical twins will not look or act exactly alike. Although they develop from the same egg and sperm having the same DNA, there are environmental differences in how they develop which causes them to have obvious differences like their height or weight.

In the womb, one of the twins may have a better connection with the placenta so they get more nutrients compared to the other twin. Another thing that causes these differences is epigenetic. This means that each twins’ genetic profiles may change or diverge as they age.

This happens especially when they spend more time apart.

Reasons that explain the phenomenon on twins that don’t look alike continue to leave a number of people baffled. The science and biology behind twinning can sometimes be difficult to comprehend but what is more important is understanding the circumstances as to how and why not all twins look alike has its benefits.

How are Twins Made?

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how are twins made

It is believed that having twins runs in the family and that twinning skips a generation. Although this might be commonly observed, the question as to how are twins made has much to do with what goes on in in the process of fertilization.

This means that it is possible for random mothers to give birth to twins. To understand the hows, whys and what nows, read on.

How do twins happen?

The Office on Women’s Health explains that twin births happen in two ways. Identical twins occur mostly by chance and come from one and the same fertilized egg. This means that this fertilized egg will split into two, which pretty much explains why identical twins have the exact same genes and look almost a hundred percent alike.

On the other hand, fraternal twins happen when two separate eggs are fertilized by two sperm cells. When more than one egg is released in a single cycle, this is called hyperovulation and is a genetic characteristic.

The process makes it possible to be passed from the mother to her child. This is why fraternal twins commonly tend to run in a number of families.

pregnant with twins

What factors will cause hyperovulation?

How and when an egg is released in a cycle is controlled by hormones during ovulation. Sometimes, however, hormones may signal the body to release more than one egg, which is not quite normal. Why does this happen?

This is influenced by a number of things like irregular usage of birth control pills or totally discontinuing taking them, using certain fertility drugs, breastfeeding, and obesity. Obesity (having a BMI that is more than 30) causes the production of higher levels of estrogen because the body has extra fat stored.

Other things that contribute to hyperovulation include genetics, family history, being pregnant over 30 years of age, being taller than the average, having a phytoestrogen-rich diet, and race. Apart from that, women from Africa have been noted to have a higher number of twin births compared to women from Asia.

Who is more likely to get pregnant with twins?

Based on the gathered data, women who are anywhere in their 30’s may be more likely to get pregnant with twins. This is because it is at this age that releasing more than one egg in a cycle is more rampant. This doesn’t happen much with those who are under their 20’s. After 35, however, the chances of getting pregnant with twins decreases.

Do fertility treatments increase the chances of having twins?

A report by the American Society for Reproductive Medicine shows that twin births happen in one out of 250 pregnancies. It is noted that this rate is higher in mothers who have had fertility treatments and because of such treatments, multiples occur in about one out of every three pregnancies.

how do twins happen
Fertility drugs have been known to increase the rate of multiple pregnancies.

Fertility treatments involve prescribing fertility drugs that are made to stimulate the ovaries. These drugs can cause several eggs to be released in one cycle. Take gonadotropins, for example.

A woman who takes has a 20% higher chance of getting pregnant with more than one baby. Clomid attributes to five to twelve percent, and IVF increases these chances anywhere between 20% to 40%.

So far, the only known fertility treatment that does not increase the rate of multiple pregnancies is intrauterine insemination. IUI is a method that injects sperm directly into the woman’s uterus through a syringe.

What are the complications when being pregnant with twins?

When a woman is pregnant with multiples, there are a number of risks and complications involved. One of which is that the babies may have a low birth weight (below 2,500 grams) which occurs in two-thirds of babies from multiple births. The main cause of this is because babies lack room for growing while in the uterus.

Another risk is that babies may have congenital defects. Such defects could be infant mortality, cerebral palsy, or other birth defects. Infant mortality has something to do with concerns associated with babies that are born prematurely.

Babies who are born less than 32 weeks are at most risk. Second, cerebral palsy is a disorder that affects a child’s motor skills and muscle movement. CP is mostly caused by brain damage that happens before or during a baby’s birth.

Prenatal care for mothers pregnant with twins

The moment you find out you are pregnant with multiples, the first thing to do is to choose a health practitioner. It may be best to see a perinatologist, otherwise known as a maternal-fetal medicine specialist (MFM). A perinatologist is an obstetrician who is a specialist in high-risk pregnancies.

Aside from choosing your health practitioner, expect that prenatal care for twins will need more ultrasounds and visits to the doctor. You may have five or more ultrasound examinations throughout your pregnancy. Once you are 18 weeks pregnant, you’ll need to have an ultrasound once a month until you give birth.

There are also some tests involved. One is a test for iron-deficiency anemia because iron is used up more quickly in twin pregnancies. Another test is the glucose screening test to monitor gestational diabetes. This test is usually taken when you are 24 and 28 weeks pregnant.

Your health professional will also be in a constant lookout for signs of preterm labor. They can go as far as recommending a fetal fibronectin test to rule this out. Fetal fibronectin is a certain protein found in the secretions from the vagina that is a sign that the body is preparing to give birth.

Now that you know how are twins made, you’ll know what to expect and you’d also understand why getting the best medical care for mothers who are pregnant with multiples is the top priority.

Not only does this lessen the occurrence of complications, but it also allows a mother’s family and friends to all the more be there for her for assistance, encouragement, and support.

How To Have Twins: Facts About Conceiving Twins

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How To Have Twins
Being excited about the prospect is one of the steps in how to have twins.

Becoming a parent is a big step in every person’s life. The idea that you would care and nurture for someone for the rest of your life is both a blessing and a responsibility. And while some parents may be perfectly content with one new life to welcome, there are some (either through chance or design) who want to take more than one.

These are the people who look up the best way how to have twins.

Truthfully, twin births aren’t a sure thing. While there may be many factors that can affect your chances of conceiving twins, there isn’t a way to guarantee it. There are a few things that can tip the odds in your favor – some which we’ll be talking about here.

How To Have Twins: FAQs

Is there a medicine I can take to have twins?

There isn’t a medicine per se that can make you have twins, but there are ones that can increase the odds. One of the best examples of this is fertility drugs – in particular, Clomid. We’ve talked about Clomid twins previously, but here’s a brief rundown of why fertility drugs help:

  • Fertility drugs increase your ovulation, which makes you potentially release more than one egg
  • This extra egg can also potentially be fertilized by another sperm cell
  • And can form into another fetus alongside your first egg cell

But again, this is merely increasing your chances, not guaranteeing them. And while fertility drugs can have an effect, the ovulation cycle of the woman is the primary factor in getting twins – and that’s not even counting the kind of twin that will develop.

twins parents

If I conceive twins, will they be identical twins?

Not necessarily. There are many kinds of twins that you can have, and all of them have more or less an equal chance of happening. Twin births are amazing: Even if you’ve looked up how to conceive twins, your body (and your future kids) may surprise you!

With the variety of factors that can affect twin development and growth, you never really know until the OB orders an ultrasound.

Do twins run in the family?

Actually, yes! There have been some studies that point to the increased likelihood of having twins if you’re a twin yourself. We’ve also talked about this before, but the chances of you giving birth to twins are higher if you carry it from your mother’s side.

It’s why you also see news of twins that marry twins that go on to have twin births themselves – it’s in the genes! And again, this may increase your chances, but it doesn’t guarantee them.

Twin Births And You

There’s a certain mystique to having twins – after all, since they’re all so often unplanned, shouldn’t you sit and wait once the pregnancy test turns positive, and look forward to the two bouncing bundles of joy you’ll soon have?

Well, not exactly. Twin births can run into plenty of issues, some which start even before conception. This is mostly dependent on what kind of twin you’ll be having since that’s often decided shortly after conception. If you’re looking up how to get twins, you should be prepared for the effects that come from carrying twins.

Here are some of the things that you can expect from carrying twins:

  • Double the fatigue. Your body will be providing for two growing babies – Expect to eat a lot more, sleep a lot more, and generally experience twice the side effects that you’d usually only associate with one child.
  • Different issues. There are some issues in pregnancy that are unique to twin births, such as twin to twin transfusion syndrome. You should keep an eye out for these kinds of events, as they can be fatal to not only you but your children.
  • A lot more visits to your doctor. Remember, there’s three of you now, not two! Your doctor will most likely request more check-ups and a closer eye on how your pregnancy develops as a result.
  • More expenses. You’ve likely already prepared for this when you’ve thought about having a child – but don’t underestimate the typical costs you’ll get for twin babies! Pre-birth, post-birth, and them growing up are all going to be a little pricier than you’d think.
  • Double the joy. There are few things quite like the first kick or flutter that you feel. Twin quickening is even more remarkable – and soon enough, you may be even able to differentiate one twin from the other one!

How to conceive twins – the natural way?

On the other hand, if you’re really wary about the idea of using drugs or the like for conceiving twins, you’ll need to make do with the natural way.

While it can still happen, the odds of it happening are quite low. Since the way that our cells multiply and divide (plus exactly how the ovulation cycle works for the mother,) it’s even more up to chance than it usually is.

However, it isn’t impossible.

We’ve all heard those stories about mothers who’ve just expected twins without really doing something about it – if it can happen to them, it can also happen to you! Stranger things have happened – right up to some quite bizarre twin births – so you prepare to be pleasantly surprised by the entire experience.

Whatever the results of your efforts trying to conceive might be, the important thing is that you will love and cherish the child you’ll have. Whether they be a twin or a single child, welcoming the newest member of your family with all the love and care they deserve is a must for any parent.

Each child deserves a household to that will cherish them as they grow up, and that’s an environment that only you can provide.

Do you know someone who swears by a specific method on how to have twins? Let us know in the comments below!

Twin Fetal Movement: What Really Happens Inside Your Belly

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twin fetal movement
Start feeling around for that first fetal movement!

There’s nothing quite like that feeling when your baby starts to make its presence felt. That first nudge, kick, or just a flutter of “Hey, I’m here!” brings joy to any mother and their family. For mothers that are expecting twins, this twin fetal movement is even a more significant source of happiness.

Here, we’ll be talking about the most frequently asked questions about twins baby movement – and how it applies when you’re expecting two bundles of joy.

Between the week 16 and 22 of your pregnancy, you’ll start to experience what doctors call “quickening”. It is the first times that your babies start to move inside you. You’ll feel small flutters at first, maybe a little bump as the baby adjusts itself in your womb, which will become the norm once you hit 24 weeks.

Generally speaking, babies move quite a bit. It’s just that your amniotic fluid takes most of the momentum. Early on in the quickening, you may not feel your baby’s movements so much. This is normal: give them room to grow out, and soon enough you’ll be feeling them every day!

This is a good thing. An active baby is often a good sign that the pregnancy is going well. Babies will often have that one time of day when they are the most active with sporadic movements in between. Since babies often react to external stimuli while they’re inside the womb, this kind of action is perfectly reasonable.

Here’s a video on fetal movement that you might be interested in taking a look into:

But what about my twin fetal movement?

If you’re expecting twins, you may be wondering how your twin’s baby movement is progressing. There’s a lot of discussion around the web on mothers who share their experiences, and it’s undoubtedly a fun smorgasbord of tips and experiences that you can use for your own! We’ve compiled some of the more interesting (and frequent) observations here:

  • If you’re expecting fraternal twins, it’s highly likely that one twin will move more than the other.
  • Identical twins often move in unison or will take alternating times of the day to do so
  • Some think that the type of twin you have will determine how much you’re feeling twins move in your womb
  • Your twins can and will physically switch places in your uterus (though you can only tell the difference once they start kicking)
  • Sometimes, you really can’t say – which is where your doctor comes in

Don’t worry if your babies move too much or too little while they’re in the womb. This is fine because each child has a distinct personality, which can differ from parent to parent.

If you’re anxious that your twin’s baby movement is off, you can always see your doctor.

feeling twins move
Soon enough, even daddy will start feeling the twins moving around.

There may also be a physical reason as to why mothers differ on feeling twins move – the positioning of the placenta. When it’s attached to the front of your uterus, it essentially creates a giant cushion for your babies, which may make it seem like they aren’t moving much.

Other factors such as your weight, lifestyle, and environment can also play a role in influencing twin movement. Remember that even if you can’t feel it, it doesn’t mean it’s not happening. Thus, going to your doctor regularly is very important.

However, as the weeks pass by into your pregnancy, these little flutters are going to get a bit rough! Being pregnant with twins means that they’ll have to share a room in your belly, which can restrict their movements a little bit.

Don’t worry because as long as they have constant activity at least an hour a day, you’re doing fine. They’re just reserving all their energy once they’re finally born.

So there you have it – the weird and wonderful reasons why twin fetal movement can be so different sometimes. Not all children are like each other, and this follows for their pregnancies as well.

 

When Did You Find Out You Were Having Twins?

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When Did You Find Out You Were Having Twins

Twins are always a surprise for any family. No matter how much you plan to have twins (down to the kind of twin that you want) there’s nothing quite like that sure sign that you’re carrying not one, but two new lives inside of you.

If getting that magic number two is something you’re looking forward to, you’ll want to know how. So, when did you find out you were having twins?

Pregnancy by the week (a quick refresher)

The good thing here is that there’s a foolproof way of immediately seeing whether or not you have twins – but it’s something that you might need to wait for. But there can always be early signs before you reach that magic six-week mark. All you have to do is look.

If this is your first pregnancy (and you’re looking for possible chances you have of being pregnant with twins), here’s a handy reviewer on the gestation period when it comes to pregnancy:

Twin pregnancy

Week 1 to 6 – This covers the time of conception, implantation, and right up to when the egg becomes an embryo. This is when you start missing your period and taking a pregnancy test.

Week 7 to 12 – The embryo starts developing the necessary parts needed to support life. This is the period when you usually get your ultrasound taken.

Week 13 to 20 – The fetus is now more or less fully formed, and can now recognize stimuli from outside the womb. You’ll start to feel it move around your tummy at this point.

Week 20 to 40 – The baby is now fully developed and is preparing for its birth. You’ll feel strong kicks and pokes as the baby investigates (and looks forward) to the world outside its womb.

Generally, you can start telling when if you’re carrying twins around week 7. But there are much earlier signs if you know how to look.

When did you find out you were having twins?

An ultrasound is the best way to get confirmation if you have two bundles of joy instead of one – but that doesn’t usually arrive until weeks 6 to 8. However, if you’re feeling impatient (or excited) there are three ways that you can check to see if you’re having twins:

Exhaustion. While it is common for pregnant women always to feel tired, those expecting more than one child may experience more fatigue. This is most commonly felt in the first trimester, due to the body working more to prepare (and provide) for two infants instead of one.

Doppler heartbeat count. A Doppler scan is often initiated around week 6 (or even 5) of a pregnancy to check if your baby has developed a heartbeat yet. If the doctor can hear two (most common in identical twins, or twins that share one sac), it could be a sign that you’re having twins.

Other signs. There is a myriad of other symptoms that other mothers swear by when it came to their time having twins – intuition, bleeding, cravings, and weight gain are most commonly cited. While undoubtedly inaccurate, you can’t disprove them – you’re the one carrying your future children after all!

Ultimately though, your best bet is an ultrasound – and you’ll be able to get one quite early! It’s also the surest way that you can guarantee if you’re going to have twins. It also gives you a clear image of the fetus growing inside of you.

If you have an inkling that you’re going to have more than one baby, it’s a much better idea just to confirm it then. Who knows, you might even have more than two.

So, the best answer to the question as to how early can you find out you’re having twins? Six weeks seems to be the magic number, but other factors can push it further or earlier.

The most important thing is that you prepare for a twin birth if that’s the case – maybe even read up on how to best raise your twins! When did you find out you were having twins? Share it in the comments!

No Morning Sickness with Twins: Is It Possible?

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No Morning Sickness with Twins

Morning sickness – one of the most common (and annoying) symptoms of pregnancy. Most mothers would agree that there’s really no fun to constantly feeling like you’re about to hurl, and even less so when you do.

For mothers expecting to give birth to more than one child, there’s a question they might be asking: Is there no morning sickness with twins?

Why does morning sickness happen?

It might be a little useful to understand why exactly you get these fits of nausea. The first thing to understand is that “morning sickness” doesn’t just occur in the morning. As plenty of mothers can testify, it can hit anytime.

is morning sickness worse with twins

But what exactly triggers it? While there may be no clear culprit, hormones are the most likely cause. Since morning sickness often occurs during the first trimester of pregnancy, it’s possible to link it to the level of human chorionic gonadotropin, or hCG.

hCG is produced mostly during the first trimester of pregnancy when the cells that form the placenta eventually attach to your womb. They’re also one of the things that your average pregnancy test detects.

Think of them as the site inspectors for where your baby will eventually settle inside your body: they’ll get busier and busier until they’re sure that your little one is ready to settle in.

Since hCG is a hormone, it can wreak havoc with how your body perceives smells or even affect your emotions. It’s similar, but not the same to the body and psyche fluctuations that you get during your menstruation.

All of this is a signal to the rest of your body to prepare for a new life to grow inside of it. This includes everything from making sure your baby gets the right nutrients to developing the necessary parts for it to sustain itself once it’s born.

However, a lesser studied theory posits that morning sickness is your body’s genetic marching orders once you’re pregnant. This ensures that you don’t ingest anything that may potentially harm or hinder the growth of your baby.

Certainly, the reason for being a little bit queasy because you’re protecting someone you love is something innately understood by all mothers.

If you want to learn more about morning sickness, you can click on this video.

I’m expecting more than one baby – is there no morning sickness with twins?

It’s hard to tell. Since plenty of factors affect how each woman’s body responds to being pregnant, we can’t say that “twins no morning sickness” is an actual thing. Even morning sickness itself isn’t precise – not all women suffer from it.

There are plenty of discussions online about the link between having twins and not suffering from morning sickness, but it would seem like opinions are roughly split. The consensus is that it depends from woman to woman.

There are some who say that they’ve never suffered from morning sickness, regardless of whether they’ve had single or twin births; while others will say that it’s more when you’re expecting twins because your body is preparing for two babies.

While science can only go so far, it may also help to trust both your medical history and your intuition. If this isn’t your first pregnancy and you’ve never suffered from morning sickness, it’s likely that you still won’t, even if you’re expecting a twin birth. But on the other hand, your body may surprise you.

But the key thing is that no matter how hard it may be (or how many rushed trips you take to the bathroom during your first trimester) you’ll always love and cherish your two beautiful babies once they come out to the world!

Morning sickness may be difficult, and it is out of your control whether it’ll happen to you or not, but it’s a small – and brief – sacrifice you’ll have to make for your loved ones.

Do you know someone who swears that there’s no morning sickness with twins? Leave your stories in the comments below!

What is the Normal Fundal Height Twins Should Have

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Fundal Height Twins

Women who are pregnant with singletons are measured and monitored regularly, but for moms expecting multiples, finding out the average fundal height twins are expected to have is a bit more difficult to asses.

As long as a mom is gaining weight consistently and sufficiently, fundal height may not be a cause for any concern at all. But then, an understanding of fundal height twins has some significance.

What is Fundal Height and Why is it Useful to Know About it?

Fundal height is measured from the top of a mother’s pubic bone (symphysis pubis) to the highest point of the womb or uterus. This measurement is taken in centimeters and done usually at 20 weeks. The fundal height twins measurement usually follows the number of the weeks a mom is pregnant.

So, if for example, a mother is 25 weeks pregnant, it is usually expected to have a fundal height anywhere around 25 centimeters. Again, this measurement may be different in twin pregnancies.

According to the International Journal of Obstetrics and Gynaecology, finding out the fundal height in multiple pregnancies helps in predicting preterm labor as well as identifying SGA (small-for-gestational age) fetuses.

Note that fundal height is just a way to estimate fetal growth and offers merely reassurance of a baby’s steady growth.

 

Are There Different Ways of Measuring Fundal Height?

Yes, there are a number of techniques health care providers do to check the fundal height. The typical way is to use a tape measure to obtain the measurement.

Your healthcare provider will start measuring from the highest point of your uterus to the apex of the symphysis pubis (It is the place located below the belly button where the pubic bone starts). Then, he or she will record the fundal height measurement in centimeters. Aside from that, it is also possible to measure fundal height using the finger method.

Is There a Twin Fundal Height chart I Can Use for Reference?

Although it is difficult to asses the “average” fundal height for twin pregnancies, a primary basis would be that the fundal height measurement often matches the number of weeks a mom has been pregnant.

More specifically, after measuring the top of the pubic bone to the highest point of the womb or uterus in centimeters, the value should match the baby’s gestational age within one to three centimeters.

For example, if the measurement shows 22 centimeters, then the pregnant woman should be 19 to 25 weeks pregnant. The measurement thus increases as the pregnancy nears the due date. For more information regarding a standardized fundal height measurement, refer to this short video by the Perinatal Institute.

measuring fundal height twins

What Does it Mean if my Fundal Height Twins Measurement is Too Small or Too Large?

A fundal height that is smaller or larger than expected may be caused by many reasons. If the measurement is large for the gestational age, then this may mean any of the following:

  1. The due date is off (an ultrasound may be needed to find out a more accurate due date)
  2. The abdominal muscles are a lot looser compared to other women perhaps because of earlier pregnancies
  3. Being obese or having uterine fibroids
  4. Being pregnant with twins or more
  5. Excessive amniotic fluid
  6. The baby is in a breech or other unusual position
  7. The mom’s pelvis is narrow
  8. The baby has a condition known as macrosomia. or the baby is larger than the average. Macrosomia may indicate the presence of type 1 or type 2 diabetes before pregnancy or gestational diabetes

If, on the other hand, the measurement is considered small for the gestational age (more than 3 centimeters smaller than expected for the mom’s stage of pregnancy), then it may be because of having too little amniotic fluid or a condition known as intrauterine growth restriction.

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Other reasons associated with a smaller measurement may be due to a mother having a more diminutive stature or well-conditioned abdominal muscles. This can also mean that the baby has dropped into the pelvis or that the baby is just tiny but perfectly healthy.

Fundal Height Twins: Always Consult Your Healthcare

Before jumping into conclusions about the fundal height twins should have, always be sure to consult your healthcare provider for any questions about your measurements and to have your pregnancy monitored closely.

Usually, an ultrasound will be recommended to determine the cause of unusual findings.

Discordant Twins: What Causes Twin Growth Discordance?

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Twin Growth Discordance may happen in 25% of twin pregnancies.

When you hear the term discordant twins, this means that the twins at birth show a distinct difference in size. Usually, the other twin’s weight is greater than 10%. This condition is common in identical twins but may also happen in fraternal twins.

To get properly oriented as to how this happens and how to manage this condition, there are essential things you need to know.

Discordant Twins
Source: medical-dictionary.thefreedictionary.com

What Causes Twin Growth Discordance?

Twin growth discordance may happen in about 25% of twin pregnancies and can either be a weight discordance or size discordance. Weight discordance is a weight incongruence of more than 25% and is possibly associated with intrauterine growth restriction (IUGR) in the smaller twin.

Size discordance, on the other hand, is usually associated with anemia or can be a result of a twin-twin transfusion.

Twin Growth Discordance may happen in 25% of twin pregnancies.

This condition is associated with a number of things like IUGR (intrauterine growth restriction) in the smaller twin, TTTS (twin-to-twin transfusion syndrome), or having a single umbilical artery (SUA) which is the absence of the right or left umbilical artery.

Discordance also happens when the placenta is unable to bring enough oxygen and nutrients to the growing baby. Other factors that influence this includes tobacco use, a viral infection, and if a mother does not have any prenatal care at all.

How are discordant twins diagnosed?

Growth discordance can be estimated by measuring the crown-rump length at or before 12 weeks of gestation. During the second and third trimesters, however, ultrasound measures are best used to estimate fetal weight and the degree of birth weight discordance.

Ultrasound examinations may be done in three different modalities:

  1. Two-dimensional (2D) Ultrasound Examinations will measure the fetal growth of both twins. It will also identify chronicity, as well as problems when it comes to the umbilical cord, TTT, and congenital abnormalities.
  2. The Doppler ultrasound will detect an abnormality when it comes to the patterns of blood flow in the fetal and placental circulation.
  3. A three-dimensional (3D) ultrasound is used to assess the placenta as to its surface, volume, and blood flow.

What should I expect in delivery?

The American Journal and Obstetrics & Gynecology states that there are three relevant combinations of fetal presentations when it comes to twin pregnancies in labor. These are vertex-vertex (both of the twins’ heads are down), vertex-nonvertex (one of twins’ head is down, while the other is in a breech position), and both non-vertex, where both twins are in breech.

The manner of delivery will be dependent on how twin A is presented. When twin A is vertex, it is possible to have a vaginal delivery, a planned cesarean section delivery, or combined (both vaginal and c-section).

A combined delivery is done when complications arise like a cord prolapse, placental abruption, fetal distress, or malpresentation of the second twin. Active management during the second stage of delivery involves maternal pushing, amniotomy (artificial rupture of membranes), and oxytocin administration.

In planned vaginal deliveries, standard protocols will be applied. This includes intravenous access, continuous fetal monitoring throughout the duration of labor, having sufficient nursing available, anesthesiology and pediatric support, ultrasound exam, and being ready to perform a cesarean delivery if needed.

What are the outcomes of a severe discordant fetal growth?

If the discrepancy is over 20%, there is a high possibility of the smaller twin to have adverse perinatal outcomes. This includes perinatal death (stillbirth), birth asphyxia, respiratory distress syndrome, neonatal infection, and birth trauma. In the case that the baby is born alive, there will be severe problems after birth.

The larger twin, on the other hand, may have a high risk of acute respiratory difficulty after birth. But aside from that, there will be fewer complications. In addition, they may be born prematurely. A C-section may also be induced to remove the twins from the mother’s womb before natural labor.

Twin pregnancies with discordant twins are at higher risk of prenatal complications and have a less favorable perinatal result. This is why early detection is most important for closer observation and well-timed delivery. Try to find out more about discordant fetal growth from your healthcare professional.

Identical vs Fraternal Twins: What are the Differences?

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identical vs fraternal twins

If you’re an expecting mother who’s just gotten the good news that you’ll be having twins, then congratulations! Twins are quite a joy (aside from being a surprise), so you’ll want to find out as much as you can about them.

In your twin ultrasound, one of the questions that you might have is: “What is the difference when it comes to identical vs fraternal twins?”

There’s a rather exciting story as to why this phenomenon even happens in the first place – and we can walk you through it right now!

Twin Babies: Identical twins vs fraternal twins

As parents of twins, to understand the difference between the two, you need to have a short background on what makes twins happen in the first place. There are plenty of factors that influence twin behavior and growth, such as:

Truthfully, while some factors can influence the chances of you having twins, the actual possibility of it is very much in the air. But once your body does start to shift in that direction during your pregnancy, then comes the critical step that makes the difference between identical and fraternal twins: the embryo.

What happens in the embryo

The embryo is what’s formed and attaches to the uterus after fertilization – or when the egg cell meets the sperm cell. It is developed from a zygote – the immediate aftermath of those two sex cells meeting during intercourse.

Basically, you can think of an embryo as the foundation of what is to be a human being.

cute twins

Now, here’s how it gets tricky. Your chances of getting either identical or fraternal twins actually don’t wholly rely on how the embryo (or embryos, in this case) behave. That’s because before fertilization even happens, your chances of deciding twins could already be determined.

This difference in the stages of conception to birth is what makes the difference between monozygotic and dizygotic twins.

Monozygotic twins: Identical Twins

Let’s back up a bit in the stages of pregnancy and go all the way to the actual moment of fertilization. When your egg cell was successfully fertilized, it formed a zygote that starts to make its journey to attach to your uterus. This is what happens in every pregnancy, and is critical for your future baby’s survival and development.

However, once it becomes an embryo, there is the chance of it splitting into two. This forms two copies of the same embryo, which then go onwards to develop into two, identical twins.

They may or may not share the same amniotic sac depending on their development, but otherwise, they are counted (concerning your cells) as one and the same.

 fraternal twins vs identical twins

Monozygotic twins share the same DNA and have the same gender when they are born. They may or may not look the same (especially if something called Twin to Twin Transfusion Syndrome – something that affects only identical twins) but factors such as time, environment, and their general life experiences can change that.

Dizygotic twins: Fraternal Twins

On the other hand, we need to look back even farther to see how fraternal twins are formed: specifically, up to the time of your ovulation. A typical woman will usually only release one egg cell during ovulation, and that single egg cell is then fertilized, forms a zygote, then grows into an embryo.

However, either due to the influence of genetics or medicine, a woman can release two egg cells at once, which are then fertilized by two separate sperm cells from the father.

These two egg cells develop into embryos of their own – fundamentally different children, with their own DNA, placenta, amniotic sac, and other parts. They attach to your uterus and grow into babies.

Dizygotic twins are two separate children that happened to be born at the same time – which explains why despite their identical dates of birth, fraternal twins may be different genders, have different DNA, and essentially act and look differently from one another.

However, they are still genetic descendants of both the mother and the father.

In summation…

To put it briefly, here’s the critical difference:

Identical (or monozygotic) twins follow the same steps as a routine pregnancy, with the only difference that the embryo formed splits into two.

Fraternal (or dizygotic) twins are formed from two egg cells fertilized by two different sperm cells, which then develop as a routine pregnancy.

Your chances of having either kind of twin will depend on a variety of factors, and it’s often quite hard to be entirely sure which ones will affect the type of twin pregnancy that you have. If you think you’re having twins, or wish to know what kind of twins you’ll be having, the best step would be to call your doctor.

While twins ultrasounds can somewhat reasonably determine the type of twins that you’re having, a DNA test is the only sure way to find out.

There are also different health hazards that are unique to these twin types. Again, asking your doctor and regularly consulting with them during your twin pregnancy can go a long way in assuaging any kind of fear or worry you might have.

If you want to learn more, here’s a video about twin development that you might want to take a look at.

And whether or not your future loved ones are identical or fraternal, the important thing is that you still recognize them as two children that have their own quirks, personalities, and foibles!

Loving your children is the standard for any parent, and whether or not how they were formed shouldn’t be a factor in that kind of love.

If you’ve loved this piece on the difference of identical vs fraternal twins, please leave a comment below.

Is Morning Sickness Worse With Twins?

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is morning sickness worse with twins

When you find out you’re pregnant with twins, you will feel exaggerated pregnancy symptoms. Two babies mean a double dose of everything. Just ask any mom who has had twins already.

The substantial hormonal changes your body goes through when expecting twins pretty much explains why is morning sickness worse with twins. Although this is a natural occurrence, there are remedies to make things easier and more bearable.

Why is morning sickness worse with twins?

The elevated levels of the hormone called human chorionic gonadotropin (hCG) in the mother’s blood may be one of the reasons why morning sickness is worse in twins. It is usually during the first trimester that such nausea and vomiting is highly experienced.

When an egg is fertilized and gets attached to the uterine lining, the body produces hCG. The hormone is made by certain cells formed in the placenta that nourishes the egg after fertilization.

Pregnancy causes a lot of changes in the body.

Aside from hCG, another reason that can explain severe morning sickness is that there is an increase in the level of estrogen when a mother is pregnant.

Estrogen is produced by the ovaries and then later on by the placenta which helps the uterus grow and maintain the uterine lining. It also responsible for activating and regulating the process of producing other key hormones.

Hyperemesis Gravidarum: Extreme Morning Sickness

If a mother is suffering from severe vomiting, nausea, weight loss, and electrolyte disturbance, then she may be suffering from what is called Hyperemesis Gravidarum.

Some cases can be treated with some dietary changes, antacids and plenty of rest. But then, in extreme cases, mothers may be required to stay in the hospital to get the proper nourishment through an IV. Taking medication is definitely not an option to fix this kind of thing.

To know if what you are experiencing is Hyperemesis Gravidarum, you may find his table very helpful:

Morning SicknessHyperemesis Gravidarum
Nausea with occasional vomitingNausea with severe vomiting
Nausea that gets better at 12 weeks or soonerNausea that does not subside
Vomiting that does not cause severe dehydrationVomiting causing severe dehydration
Vomiting that still allows you to eat and keep some food downVomiting that does not allow you to eat anything at all nor keep food down

Other symptoms of HG include weight loss of 5% or more as compared to pre-pregnancy weight, decrease in urination, headaches, confusing, fainting, jaundice, extreme fatigue, a rapid heart rate, low blood pressure, loss of skin elasticity, and depression.

How to Treat Hyperemesis Gravidarum

There are a number of ways to treat this condition. One is by the use of Intravenous fluids to fully restore a mother’s hydration, electrolyte levels, and also give the essential vitamins and nutrients. Another way is by tube feeding either through the nose into the stomach (Nasogastric), or through the abdomen into the stomach (Percutaneous endoscopic gastrostomy).

The use of medications like antihistamines, metoclopramide, and anti-reflux medications can also alleviate this condition.

Other ways that can help are:

  1. Complete bed rest. Just be sure to know that too much bed rest may cause weight and muscle loss.
  2. Acupressure. The pressure point that reduces nausea is found in the middle of the inner wrist. Specifically, it is three finger lengths away from the crease of the wrist, in between two tendons. Once located, firmly press this area for three minutes. Do this one wrist at a time. You can also purchase sea bands from any drug store that help with acupressure.
  1. Herbal remedies like ginger or peppermint. Ginger has been known to relieve nausea and vomiting while peppermint is helpful in relieving morning sickness and flatulence.
  2. Homeopathic remedies can also be used. These are a non-toxic system of medication. But be sure to have your health professional prescribe the proper remedy and dose. It is a big no-no to self-medicate when it comes to homeopathic remedies.

Even though we know that nausea and vomiting happen in the first trimester until the second trimester, going through the seemingly endless “Is morning sickness worse with twins?” phase is not an easy thing at all.

Any mom going through this will need all the care and encouragement to keep on. It is also important to keep in touch with your health professional to be sure that you’re well taken care of.