The information on this website is not intended for diagnosis or treatment. Please consult your physician for health concerns.

+90 850 321 50 00

Twin Pregnancy Complications

In multiple pregnancies, the risk rate for both mother and babies increases significantly.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Twin Pregnancy Complications?

Multiple pregnancies naturally occur at a rate of 1-2%, while this rate has increased with assisted reproductive techniques. Chorionicity (dichorionic-diamniotic, monochorionic-diamniotic, monochorionic-monoamniotic) determines the complication profile and must be detected in the first trimester.

Maternal complications include hyperemesis, preeclampsia, gestational diabetes, anemia, placenta previa, postpartum hemorrhage, and need for prolonged hospitalization. Thromboembolic risk is also increased.

Fetal and neonatal risks are preterm delivery, low birth weight, congenital anomalies, IUGR, TTTS, sIUGR, monoamniotic cord entanglement, and perinatal death. Frequent ultrasound, Doppler follow-up, and planned delivery reduce these risks.

Symptoms

Uterine size larger than expected for gestational age
Severe nausea and vomiting (hyperemesis)
Early and significant maternal weight gain
Fetal movements felt in different regions
Increased shortness of breath
Edema in the legs

Risk Factors

IVF and ovulation induction
Advanced maternal age
Family history of multiple pregnancy
Previous history of multiple pregnancy
Monochorionic placentation
Concurrent medical illnesses in multiple pregnancies

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Perinatology evaluation when multiple pregnancy is detected
  • When there are regular contractions or watery discharge
  • When severe headache and visual blurring develop
  • When decrease in fetal movements is noticed
  • Sudden rises in blood pressure

Treatment Methods

01
Determination of chorionicity in the first trimester
02
Frequent antenatal ultrasound and biometry follow-up
03
Preeclampsia prophylaxis (aspirin)
04
Anemia and diabetes screening
05
Decision for planned cesarean section or vaginal delivery
06
Preparation for postpartum hemorrhage

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

Book AppointmentContact Us

Related Health Topics

Other articles from the same department you may want to explore.

Regular Gynecological Check-up

Kadın Hastalıkları ve Doğum

Regular gynecological check-ups enable early diagnosis of many women's diseases and increase treatment success. It is recommended that every sexually active woman or woman over 21 see a gynecologist at least once a year.

Cervical Cancer

Kadın Hastalıkları ve Doğum

Cervical cancer develops from uncontrolled growth of cells in the cervix and is among the most common women's cancers worldwide. Precancerous lesions can be recognized with regular Pap smear and HPV testing.

HPV and Vaccination

Kadın Hastalıkları ve Doğum

HPV is a common virus transmitted sexually that can lead to certain types of cancer. Vaccination provides over 90% protection against high-risk HPV strains.

Ovarian Cyst

Kadın Hastalıkları ve Doğum

Ovarian cysts are fluid-filled sacs that form in or on the ovarian tissue. Most are asymptomatic and disappear spontaneously; however, large or complex cysts can cause pain and complications.

Endometriosis

Kadın Hastalıkları ve Doğum

Endometriosis affects about 10% of women of reproductive age, causing cyclic pelvic pain, dysmenorrhea, dyspareunia, and infertility; combined medical and laparoscopic treatment improves quality of life.

Uterine Fibroids

Kadın Hastalıkları ve Doğum

Uterine fibroids are benign tumors developing from the uterine muscle layer. They affect 20-50% of women of reproductive age; most are asymptomatic, but can cause bleeding and pain.

Polycystic Ovary Syndrome (PCOS)

Kadın Hastalıkları ve Doğum

PCOS is the most common endocrine disease affecting approximately 10% of women of reproductive age, characterized by androgen excess, ovulation disorder, and polycystic ovarian appearance.

Menopause

Kadın Hastalıkları ve Doğum

Menopause is the life stage defined by not having a period for 12 consecutive months and the natural cessation of ovarian function. The average age is 51, but it can vary between 45-55 years.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.