Early management of twin pregnancy is important to
prepare the parents by giving the special and advice. This will help to mother
to take additional care not only for her own benefit also for the fetuses.
Advice -
- Diet – Increased dietary supplement is needed for increased energy supply to the extent of 300 Kcal per day, over and above that needed in a single pregnancy.
- Rest – Increased risk at home and early cessation of work is advised to prevent preterm labour and other complications.
- Supplement – Additional vitamins, calcium and folic acid are to be given, over and above those prescribed for a singleton pregnancy.
- More antenatal visit should be advised.
- Fetal growth assessment must be done at 2-3 week.
Hospitalization –
The woman may be admitted around the 32nd
week if she prefers it. This result in increase birth weight of babies,
decreased frequency of preeclampsia, decrease frequency of preterm labour and
lowered perinatal mortality.
