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Home > Medical Specialties > Obstetrics > Multiple and Breech Pregnancies

Multiple and Breech Pregnancies

Twins

 

Twin pregnancy results when two eggs are fertilized or when a fertilized egg splits to form two embryos at a very early stage of pregnancy. Women carrying a twin pregnancy tend to have more severe symptoms of early pregnancy.

 

During the course of pregnancy, they are at higher risk of miscarriage as well as other pregnancy complications like anaemia, high blood pressure, gestational diabetes and preterm delivery. Hence, these patients need more frequent follow-up with the specialist to monitor the babies as well as to look out for early signs of any of the above mentioned complication.

 

Triplets

 

Although triplets or higher order gestations may occur naturally, they are usually the result of in-vitro fertilization. It is associated with significantly increased risk to the mother as well as to the fetuses compared to the twin pregnancy, preterm delivery being the most significant complication.

 

Multi-fetal pregnancy reduction should be considered for the triplets and higher order gestations to improve the outcome of the survivors

 

Breech

 

Breech presentation occurs when baby is presenting ‘bottom first'.

 

Although it is a common finding earlier in pregnancy, only 3-5 % of fetuses are still breech at term. It is more likely in presence of multiple pregnancies, any structural defect in the baby or in the uterus or in those with low lying placenta.

 

As vaginal breech delivery is associated with increased risk of injury to the baby, the current practice is to try and turn the baby while it is still inside the womb. This procedure is called external cephalic version and is carried out around 36-37 weeks of gestation.

 

If the procedure is unsuccessful or if the patient does not wish to try it, the recommended mode of delivery is by Caesarean section.

 

Please contact the Women's Clinic at (65)6772 2255 / 2277 for more information or to make an appointment, or email us at  Womens_Clinic@nuhs.edu.sg

 

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 Division of
Maternal Fetal Medicine

 

Head of Division

A/Prof Su Lin Lin

 

Senior Consultant

Prof Arijit Biswas

A/Prof Mary Rauff

A/Prof Wong Yee Chee

A/Prof Chong Yap Seng

A/Prof Mahesh Choolani

Dr Chua Tsei Meng

Dr Vanaja Kalaichelvan

 

 

Consultant

Dr Anita Kale
A/Prof Chan Shiao-Yng

Dr Citra Mattar

Dr Claudia Chi

 

Associate Consultant

Dr Arundhati Gosavi