In this episode, we chat about twin pregnancies with Birth Warrior and OBGYN, Dr. Griselda Reyes.
Terms:
Twins: there are two fetuses in the uterus. This is a rare occurrence that can be due to family history, fertility treatments or other factors.
Dichorionic diamniotic twins – each has their own separate placenta and separate sac.
Monochorionic diamniotic twins – share a single placenta but have their own separate sacs.
Monochorionic monoamniotic twins – share both a placenta and a sac.
Maternal Fetal Medicine (Perinatologist): OB/GYNs who get specialized training on high risk pregnancies.
Doula: A labor coach or birth assistant who can provide prenatal, labor, and postpartum support. This includes helping to create a birth plan, manage pain during delivery, and assist with breastfeeding/lactation needs.
Bradycardia: occurs when a fetus (developing baby) has a sustained heart rate slower than 110 beats per minute (BPM).
Preeclampsia (formerly called toxemia): High blood pressure after 20 weeks of pregnancy that leads to end organ damage.
Signs/symptoms include: Headache unrelieved by pain medication, vision changes, protein in your urine, elevated liver enzymes, kidney failure, and low platelet levels.
Treatment: Magnesium is usually used to prevent seizure and IV blood pressure
Eclampsia: A seizure related high blood pressure
Ketamine: an anesthetic used medically for induction and maintenance of anesthesia.
NICU: the intensive care unit of babies who are sick or born early. Hospitals have different NICU levels that they offer:
Level 1 NICU | Basic care - provide care for healthy full-term babies.
Level 2 NICU| Advanced care - offer care for babies born at or after 32 weeks.
Level 3 NICU| Specialized care - care for very sick babies and offer access to a wide range of pediatric specialists and equipment.
Level 4 NICU| Highest level of care - provides a full range of healthcare providers and equipment for very sick babies.
Trial of Labor After Cesarean (TOLAC): Patients who have undergone a previous cesarean birth have the option of proceeding with a trial of labor if they have had two or less cesareans.
Please talk to your provider to see if your hospital offer this option
Bilateral Tubal Ligation: a surgical procedure that creates permanent contraception, or sterilization.
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