Imagine wishing and trying for one baby and ending up with two! Statistics show that there has been an increase in twin pregnancy the past few years and this short guide should answer any questions you have to giving birth to multiples!
How do twins begin?
There are two kinds of twins: identical twins and fraternal twins. In the case of identical twins, the egg is fertilized and then splits into two cells. Each cell carries identical DNA and so both children will look exactly the same with only slight differences such as height or birthmarks. Fraternal twins are not identical. Instead of having one egg that splits into two, there are two eggs that are fertilized by two different sperm at the same time so they could be of two different sexes with different physical characteristics.
Early signs of twin pregnancy
An early sign of twin pregnancy is excessive morning sickness and extreme fatigue. Morning sickness is common with all pregnant mothers but those who are giving birth to multiples tend to experience more morning sickness than usual. Exhaustion is another early sign of twin pregnancy. Again, it is not uncommon for pregnant women to be more tired than usual but those who are having twins tend to undergo enhanced exhaustion. Twins are hereditary and so if you are feeling excessively tired, are often nauseous and twins run in your family, you very well could be giving birth to multiples!
Twin pregnancy facts
With twins, you’ll have to prepare for double the trouble! This means you will probably be gaining more weight than with a single pregnancy. Due to this extra weight, a pregnancy with twins can often be more uncomfortable – severe exhaustion, stronger backaches and headaches, etc. So get plenty of sleep and rest. Try a pregnancy massage, a great stress reliever to those giving birth to multiples. Also be prepared for a possible c-section, as with multiples this is the more common way of giving birth. Because a twin pregnancy is considered a high risk pregnancy, you will probably need to consult your obstetrician more often than if you were having a regular pregnancy. Do not be fazed as this is quite common with twins.
Having a twin pregnancy is most certainly a mixed blessing. Whilst having two children is an amazing experience, the pregnancy itself can be tough so make sure to take care of yourself.
Induced Abortion
Induced abortion is the deliberate termination of pregnancy in a manner that ensures that the embryo or fetus will not survive. Attitudes of society toward elective abortion have undergone marked changes in the past few decades. In some situations the need for abortion is accepted by most people, but political and medical attitudes regarding induced abortion have continued to lag behind changing philosophies. Some religious concepts remain unchanged, resulting in personal, medical, and political conflicts.
About one-third of the world’s population lives in nations with nonrestrictive laws governing abortion. Another third live in countries with moderately restrictive abortion laws, ie, where unwanted pregnancies may not be terminated as a matter of right or personal decision but only on broadly interpreted medical, psychologic, and sociologic indications. The remainder live in countries where abortion is illegal without qualification or is allowed only when the woman’s life or health would be severely threatened if the pregnancy were allowed to continue.
An estimated 1 out of every 4 pregnancies in the world is terminated by induced abortion, making it perhaps the most common method of reproduction limitation. In the U.S., estimates of the number of criminal abortions performed prior to legalization of the procedure ranged from 0.25-1.25 million per year. The number of legal abortions now being performed in this country approximates 1 abortion per 4 live births. In 1997, there were 1.33 million induced abortions compared to 3.88 million live births.
Legal Aspects of Induced Abortion in the United States
The United States Supreme Court ruled in 1973 (1) that the restrictive abortion laws in the U.S. were invalid, largely because these laws invaded the individual’s right to privacy, and (2) that an abortion could not be denied to a woman in the first 3 months of pregnancy. The Court indicated that after 3 months a state may “regulate the abortion procedure in ways that are reasonably related to maternal health” and that after the fetus reaches the stage of viability (about 24 weeks) the states may refuse the right to terminate the pregnancy except when necessary for the preservation of the life or health of the mother. Still, much opposition is raised by various “right-to-life” groups and religious groups. In spite of this opposition, over 1 million procedures are still performed annually in the United States, with about one-third being performed on teenaged women. This dramatically emphasizes the inadequacy of sex education and the need for greater availability of adequate contraceptive methods in order to avoid such pregnancy wastage.
Evaluation of Patients Requesting Induced Abortion
Patients give varied reasons for requesting abortion. Since in some cases the request is made at the urging of the woman’s parents or in-laws, husband, or peers, every effort should be made to ascertain that the patient herself desires abortion for her own reasons. In addition, one should be certain that she knows she is free to choose among other methods of solving the problem of unplanned pregnancy, eg, adoption or single-parent rearing.
Although the majority of abortions are performed as elective procedures, ie, because of social or economic reasons as opposed to medical reasons, some women still request such services for medical or surgical indications. For example, for women with certain medical conditions, such as Eisenmenger’s complex and cystic fibrosis, continuation of pregnancy may pose a threat to the life of the mother. Other indications are pregnancy resulting from a rape or pregnancy with a fetus affected with a major disorder, eg, trisomy 13. In any event, the ultimate decision rests with the pregnant woman.
