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There is a lot of focus on pre-natal lower back pain, but clinically I treat many women in this population that experience upper back (thoracic spine) pain as well. Upper back pain during pregnancy can occur at any point, but is most common in the third trimester. Avoid lifting and carrying heavy objects and, when necessary, use proper body mechanics with lifting. Performing a few simple stretching exercises daily can also help prevent or alleviate upper back pain. Doorway pectoralis stretching: Stand in a door frame and place your arms on the door frame at shoulder height with the elbows bent to 90 degrees. Scapular retraction: After you have stretched the pectoral musculature as noted above, keep the arms relaxed at your side and gently pinch the shoulder blades together as if you are trying to hold a pencil between them.
If you do experience upper back pain during pregnancy you can use ice, heat, or massage to relieve symptoms. Depending upon where the pain is located, it can be normal for some muscular pain to be present.
I have found that doing prenatal yoga (at least twice a week but more is better) has kept my back pain away.
I have been suffering upper back pain seens 2013 may after delivery i have gone for madication but there is no change how can i do? I have included another blog article below for you to look at which discusses the back pain in both the lower and upper back after delivery. I have been told I have a problem with my pelvis (probably from the 1st birth and associated weakness in my right leg). What can you recommend in terms of exercises and is there a type of specialist I can tell my doctor I want to see who can help me? I m suffering from upper back pain like thoracic spine pain and i missed my periods for 10 days. I have this upper right back pain for about 2 weeks now and struggling to sleep at night as. A lot of expecting mothers are surprised at just how hard they find it to sleep during pregnancy. Women who love to sleep on their stomach will no longer be able to do it because the abdomen will increase in size. Whether you're in the first trimester or in the later stage of pregnancy, you will have to get used to using the correct pregnancy sleeping positions. Do you want to get a good night's sleep while maintaining the correct pregnancy sleeping positions in your first trimester and throughout pregnancy? Sleeping Positions During Early Pregnancy-Sleeping Correctly When PregnantSleeping Positions for Pregnant Women and the Importance of Maternity PillowsPregnancy Nausea during third trimester is the most common occurrence. Daphne De Marneffe says mothers suffer from a "nostalgia for the present." This is apt, I think. Betsy asks us to coin a word that would adequately describe the combination of heartache and pride mothers go through as they see their children grow. Speaking of which … submissions for the December Carnival of Natural Parenting are due this Tuesday, December 7. Let's Talk Traditions: From holidays to birthdays, long weekends to family vacations, what has your family done to make special occasions memorable?See the post for more details on how to submit. And speaking further of Natural Parents Network, I'd like once again to invite your original writing for the site. There's also a special Facebook giveaway over at Natural Parents Network: When NPN reaches 1,500 fans on Facebook, one lucky liker will get a $15 gift certificate to Yo Ho Graphix, an Etsy store with stunning decals, plus clothing and tote bags, many of which celebrate breastfeeding and family.
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Riding the rails with my husband, Crackerdog Sam, and our hobo kids, Mikko Lint Picker (born June 2007), Alrik Irontrousers (born May 2011), and Karsten (born October 2014). It is recommended that pregnant women, especially in the second and third trimesters of pregnancy, sleep on their side. Also wearing supportive shoe wear without a heel can help relieve some of the back discomfort by keeping the spine more neutral and providing a good base of support. The two exercises that follow can help to reduce some of the postural stresses and therefore decrease upper back pain. Place one foot forward and gently lunge forward until you feel a moderate stretch at the front of the chest into the front of the shoulders. Athletico bloggers are licensed professionals who abide by the code of ethics outlined by their respective professional associations. I love that you admonish pregnant women not to take their pain for granted and see a physician when necessary. My upper and middle back pain is excruciating and the doctors just said there’s nothing that can be done. I also have lower abdominal pain just like during menstrual cycle and from 2 to 3 days i m suffering for higher acidity too. About 20-30 min after I get out of bed I can finally take a deep breath with out terrible pain.
I can not sleep it feels like something is pushing down on my back when I lay down … I tried the heat it did not work for me. There's no way to know for certain until you go through it, because every woman is different and every baby develops differently.
It gathers in his bowels and you may see it in his first diaper if not sooner (during delivery).
It's also squeezing your internal organs, which could cause you to have to urinate frequently and might also give you heartburn. After the egg is fertilized by a sperm and then implanted in the lining of the uterus, it develops into the placenta and embryo, and later into a fetus. Pregnancy urine tests check for the presence of human chorionic gonadotropin (hCG), which is produced by a placenta. A pregnant woman should be sure to eat a balanced, nutritious diet of frequent, small meals. This means cutting back on high-calorie, high-fat, high-sugar snacks, and increasing the amount of fruits, vegetables and whole grains in her diet.
The changes in your body can disrupt your peaceful sleep and this is because of the increasing size of your abdomen, heartburn, breath shortness, back pain, and insomnia. It is not recommended to sleep on the back especially if you are in the later stage if your pregnancy. First trimester is the time to get used to sleeping in the correct position that will lead to a healthy pregnancy. They not only promote sleeping in the correct side sleeping position for a healthy pregnancy, they also help you to sleep like a baby.
I feel like they have a better chance of getting the word out to a wide audience, so it's really a treat to hear positive stories from someone like the smart and gorgeous Danica McKellar. That is, instead of just turning parents loose and saying, "Don't do this, but I'm not going to tell you what to do instead." You know, like I do. I was wondering why the top of my belly area was already so rounded and firm when I know that, this early in the pregnancy (round about 15 weeks, so now even bigger than this), my uterus is not close to being big enough to be challenging my boob line. She has started to add cosleeping into her sleep routines and found frequently unspoken benefits. The earlier the better to make things easy on us, because Dionna has tight editing deadlines this month.
Some upcoming themes are attachment parenting with older children, holistic health practices, and political and social activism, but we can use articles on any topic related to natural parenting. You get your choice of a uniquely shaped I Spy tube with lots of little goodies hidden inside for little eyes to peek at, or a fun collection of old-fashioned games that pass the time, such as Hangman and The Alphabet Game, on decidedly newfangled laminated cards with an attached dry-erase marker. So like NPN on Facebook today so you can be entered to win, and see the post for bonus entries to increase your chances. First, as pregnancy progresses, the growing size of the baby and the uterus shifts the center of gravity forward placing increased pressure on the muscles in the back.
Do not cross your legs and keep your feet flat on the floor approximately shoulder width apart. Placing a pillow between the knees and under the abdomen can help to maintain a neutral spine with sleeping. Keep the object close to your body at all times to decrease the lever arm and in turn the force that is placed on your back. Make sure there is proper padding between your skin and the hot pack to prevent burns and place a barrier between your skin and the ice pack to prevent skin irritation. In some cases back pain may be a sign of pre-term labor or other obstetrical conditions, so always mention the back pain to your doctor so that they can evaluate the cause and suggest the proper treatment.
The content published in blog posts represents the opinion of the individual author based on their expertise and experience. Some women never experience so much as a bout of heartburn and barely gain a pound while others find themselves constantly queasy, irritable and seem to gain weight like it’s going out of style. After you've missed your period, home pregnancy tests can be taken with the best chance of an accurate result.
The newest home tests can detect pregnancy on the day of the missed menstrual period.Home pregnancy tests are more than 97% accurate if the result is positive, and about 80% accurate if the result is negative. Women should begin taking 400 mcg of folic acid several months before becoming pregnant, as folic acid has been shown to reduce the risk of spinal cord defects, such as spina bifida.No medication (not even a nonprescription drug) should be taken except under medical supervision, since it could pass from the mother through the placenta to the developing baby. Once she becomes pregnant, she should make sure to get at least six to 11 servings of breads and other whole grains, three to five servings of vegetables, two to four servings of fruits, four to six servings of milk and milk products, three to four servings of meat and protein foods, and six to eight glasses of water. I've had similar feelings of having failed my son in some way for the negative things that happened in our birth, and yet I have no problem in reading other parents' stories like this one and seeing nothing that needs forgiveness.


Read our contributor guidelines here and send any articles or ideas and questions to Dionna {at} NaturalParentsNetwork {dot} com. Secondly, a woman can gain 25-30% of their body weight in a relatively short period of time, which also places increased stress on the muscles in the back. Use a wide stance for a good base of support and try to keep weight equally distributed between sides. Also, using the appropriate number of pillows to ensure a neutral neck or cervical spine position is important.
Upper back pain during pregnancy can be successfully treated, which can improve the quality of your pregnancy and make your post-partum recovery and transition easier. The content provided in this blog is for informational purposes only, does not constitute medical advice and should not be relied on for making personal health decisions. Due to technological advances, pregnancy is increasingly occurring among older women in the United States.First monthAt the end of the first month, the embryo is about a third of an inch long, and its head and trunk-plus the beginnings of arms and legs-have started to develop. If the result is negative and there is no menstrual period within another week, the pregnancy test should be repeated. Some drugs, called teratogens, have been proven harmful to a fetus, but no drug should be considered completely safe (especially during early pregnancy). She should limit caffeine to no more than one soft drink or cup of coffee per day.PrognosisPregnancy is a natural condition that usually causes little discomfort provided the woman takes care of herself and gets adequate prenatal care. First trimester is the best time to learn so you know how to sleep well for the remainder of your pregnancy. This baby or kid that you love so entirely completely utterly fiercely is going to be a little bit different tomorrow and in a month quite different and in a year entirely transformed.
There are some things on Lisa's list that I could see, in the wrong hands, becoming manipulative or blaming (like some of the positive reinforcement or giving choices). I can now pat the top bulge lovingly and coo to Sam, "Wanna feel my liver, honey?" Anything to amuse myself while I really do feel like all my organs are way too perilously close to my outer edge and threatening to burst forth. We could also use more volunteers if you're interested in helping out this growing and vibrant parenting community. If you are statically standing for prolonged periods of time, rest one foot on a small step stool and change feet regularly to change the weight distribution.
Make sure that your chair is of a proper height with the hips positioned at approximately 90 degrees. If you need to bend forward to lift the object hinge from the hips do not bend at the back. Today it started at 4am and I tired a heating pad and it took the sharpness of pain away but the dull ache is just so bad I had to get up. The embryo receives nutrients and eliminates waste through the umbilical cord and placenta. While home pregnancy tests are very accurate, they are less accurate than a pregnancy test conducted at a lab.
Drugs taken during the first three months of a pregnancy may interfere with the normal formation of the baby's organs, leading to birth defects.
As the body prepares for delivery, hormones are released that loosen the ligaments and muscles in the body.
A physical therapist can evaluate you to determine the specific factors that are contributing to your upper back pain and design an individualized program to address these factors and facilitate your return to pain-free functioning. By the end of the first month, the liver and digestive system begin to develop, and the heart starts to beat.Second monthIn this month, the heart starts to pump and the nervous system (including the brain and spinal cord) begins to develop. Abnormally high levels of this substance suggests there may be defects in the fetal neural tube, a structure that will include the brain and spinal cord when completely developed.
That's why I have this sort of instinctive feeling that if I connected fully with Mikko in any of these moments of tension and conflict, the way forward would be clear, even without blog posts guiding me — but since I have problems with that, I'll take the tips from the blog posts! When this occurs there is less inherent stability in the pelvis and back, which causes the muscle to work harder, and sometimes this increased demand on the muscles can cause muscle spasm.
By keeping the lower back supported, the muscles in the upper back can relax more in sitting. Wait until you have lifted the object and have it close to your body before pivoting or turning. This more expensive test, which also looks for hCG, can produce a result within nine to 12 days after conception.Once pregnancy has been confirmed, there are a range of screening tests that can be done to screen for birth defects, which affect about 3% of unborn children.
Lastly, the enlargement of breast tissue during pregnancy can alter posture and increase strain on the neck, shoulders, and thoracic spine.
I’m very active, a wellness manager and a yoga teacher as well as mama to a wild energetic 3 year old.
Facial features begin to form.Third monthBy now, the fetus has grown to 4 in (10 cm) and weighs a little more than an ounce (28 g).
This would include women over age 35, who had another child or a close relative with a birth defect, or who have been exposed to certain drugs or high levels of radiation. Now the major blood vessels and the roof of the mouth are almost completed, as the face starts to take on a more recognizably human appearance.
The blotches may appear in the forehead, cheeks, and nose, and may merge into one dark mask.
It usually fades gradually after pregnancy, but it may become permanent or recur with subsequent pregnancies. Some women may also find that the line running from the top to the bottom of their abdomen darkens.
The average gestation period for a human pregnancy is 10 lunar months (280 days) from the first day of the last menstrual period.Conception. Once a month an ovum (secondary oocyte) matures in one of the ovaries and travels down the nearby fallopian tube to the uterus; this process is called ovulation.
All organs are now fully formed, although they will continue to grow for the next five months.
At Fertilization, which must take place within a day or two of ovulation, one of the spermatozoa unites with the ovum to form a zygote. The fetus has skin, eyebrows, and hair.Fifth monthNow weighing up to a 1 lb (454 g) and measuring 8-12 in (20-30 cm), the fetus experiences rapid growth as its internal organs continue to grow. The zygote then implants itself in the wall of the uterus, which is richly supplied with blood, and begins to grow.
At this point, the mother may feel her baby move, and she can hear the heartbeat with a stethoscope.Sixth monthEven though its lungs are not fully developed, a fetus born during this month can survive with intensive care. Weighing 1-1.5 lbs (454-681 g), the fetus is red, wrinkly, and covered with fine hair all over its body. The fetus will grow very fast during this month as its organs continue to develop.Seventh monthThere is a better chance that a fetus born during this month will survive. Unless the period is more than 10 days late, however, this is not a definite indication, since many factors, including a strong fear of pregnancy, can delay menstruation. Now the fetus can suck its thumb and look around its watery womb with open eyes.Eighth monthGrowth continues but slows down as the baby begins to take up most of the room inside the uterus. About 4 weeks after conception, changes in the breasts become noticeable: there may be a tingling sensation in the breasts, the nipples enlarge, and the areolae (dark areas around nipples) may become darker. Frequent urination, another early sign, is the result of expansion of the uterus, which presses on the bladder.Other signs of pregnancy include softening of the cervix and filling of the cervical canal with a plug of mucus. Early in labor this plug is expelled and there is slight bleeding; expulsion of the mucous plug is known as show and indicates the beginning of cervical dilatation.
A woman's breasts swell and may become tender as the mammary glands prepare for eventual breastfeeding. Nipples begin to enlarge and the veins over the surface of the breasts become more noticeable.Nausea and vomiting are very common symptoms and are usually worse in the morning and during the first trimester of pregnancy.
They are usually caused by hormonal changes, in particular, increased levels of progesterone. Women may feel worse when their stomach is empty, so it is a good idea to eat several small meals throughout the day, and to keep things like crackers on hand to eat even before getting out of bed in the morning.Many women also feel extremely tired during the early weeks. The average pregnancy lasts about 280 days, or 40 weeks, from the date of conception to childbirth.
Frequent urination is common, and there Pregnancy usually lasts 40 weeks in humans, beginning from the first day of the woman's last menstrual period, and is divided into three trimesters. Since the exact date of conception usually is not known, the estimated date of delivery can be calculated using nägele's rule.
This is approximate, since pregnancy may be shorter than the average or can last as long as 300 days. A host of influences can adversely affect the growth and development of the fetus and his or her chances for survival and good health after birth. Weight begins to increase.In the second trimester (13-28 weeks) a woman begins to look noticeably pregnant and the enlarged uterus is easy to feel.
The diet of the mother should be nutritious and well-balanced so that the fetus receives the necessary food elements for development and maturity of body structures. The nipples get bigger and darker, skin may darken, and some women may feel flushed and warm. It is especially important that the mother receive adequate protein in her diet, because a protein deficiency can hamper fetal intellectual development. Supplemental iron and vitamins usually are recommended during pregnancy.There is now less emphasis on severe restriction of the mother's dietary intake to maintain a limited weight gain. The average gain is about 28 lb during pregnancy, and either starvation diets or forced feedings can be unhealthy for the mother and hazardous for the fetus. During the second trimester, nausea and vomiting often fade away, and the pregnant woman often feels much better and more energetic. Ideally, the mother should achieve normal weight before she becomes pregnant because obesity increases the possibility of eclampsia and other serious complications of pregnancy. Heart rate increases as does the volume of blood in the body.By the third trimester (29-40 weeks), many women begin to experience a range of common symptoms. Mothers who are underweight are more likely to deliver immature babies who, by virtue of their physiologic immaturity, are more likely to suffer from birth defects, hyaline membrane disease, and other developmental disorders of the newborn.Other factors affecting the fetus include certain drugs taken by the mother during pregnancy.


Stretch marks may develop on abdomen, breasts, and thighs, and a dark line may appear from the navel to pubic hair. A well-known example is thalidomide, which inhibits the growth of the extremities of the fetus, resulting in gross deformities. Many drugs, including prescription as well as nonprescription medications, are now believed to be capable of causing fetal abnormalities. Most health care providers recommend that all drugs be avoided during pregnancy except those essential to the control of disease in the mother.Diseases that increase the risk of obstetrical complications include diabetes, heart disease, hypertension, kidney disease, and anemia. Sexually transmitted diseases can have tragic effects on the baby, even though the symptoms in the mother are minor at the time of pregnancy. This may relieve pressure on the upper abdomen and the lungs, allowing a woman to breathe more easily.
However, the new position places more pressure on the bladder.A healthy gain for most women is between 25 and 35 pounds.
The baby is either stillborn or born infected, and rarely escapes physical or mental defects or both. Successful treatment of the mother before the fifth month of pregnancy will prevent infection in the infant.During the birth process the infant may be infected with gonorrhea as it passes through the birth canal. Generally, women will gain three to five pounds in the first three months, adding one to two pounds a week until the baby is born. The mortality and morbidity rates for such infected infants are high.The age of the mother is also an important factor in the well-being of the fetus.
The remaining weight that a woman gains during pregnancy is mostly due to water retention and fat stores. The mortality and morbidity rate for infants born of mothers below age 15 and above 40 are higher than for those of mothers between these ages.Recently developed tests to monitor fetal health have taken much of the guesswork out of predicting the chances of survival and health status of the fetus after birth.
Such tests and evaluation techniques include amniocentesis, chemical and hormonal assays, biophysical profiles, testing for alpha-fetoprotein, ultrasound examinations, electronic surveillance of fetal vital signs and reaction to uterine contractions, and analyses of the infant's blood during labor.Prenatal Care. The care of the mother during her entire pregnancy is important to her well-being and that of the fetus she is carrying. The health care provider learns about the patient's physical condition and medical history, and can detect possible complications before they become serious.On the first prenatal visit the patient's medical history is taken in considerable detail, including any diseases or operations she has had, the course of previous pregnancies, if any, and whether there is a family history of multiple births or of diabetes mellitus or other chronic diseases. Gums may become more sensitive and bleed more easily; eyes may dry out, making contact lenses feel painful.
The first visit also includes a thorough physical examination and measurement of the pelvis. Blood samples are taken for screening for rubella and sexually transmitted diseases such as syphilis, hepatitis B, chlamydiosis, infection by the human immunodeficiency virus, and other conditions.
On subsequent visits the patient brings a urine specimen, collected upon arising that morning, to be tested for albumin and glucose. Some women also find that the line running from the top to the bottom of their abdomen darkens. This is called the linea nigra.While the above symptoms are all considered to be normal, there are some symptoms that could be a sign of a more dangerous underlying problem. In the second trimester, when the uterus becomes an abdominal organ, the height of the fundus is measured at each visit.
Often it requires no treatment or can be relieved by such simple measures as eating dry crackers and tea before rising. Indigestion and heartburn are best prevented by avoiding foods that are difficult to digest, such as cucumbers, cabbage, cauliflower, spinach, onions, and rich foods. Hemorrhoids sometimes occur in pregnancy because of pressure from the enlarged uterus on the veins in the rectum. Lying flat with the feet raised on a pillow several times a day will help relieve swelling and pain in the legs. In more difficult cases the health care provider may prescribe an elastic bandage or support stockings.Backache during pregnancy is caused by the heavy abdomen pulling on muscles that are not normally used, and can be relieved by rest, sensible shoes, and good posture.
Swelling of the feet and ankles usually is relieved by rest and by remaining off the feet for a day or two. If the swelling does not disappear, the health care provider should be informed since it may be an indication of a more serious complication.Shortness of breath is common in the later stages of pregnancy.
If at any time it becomes so extreme that the woman cannot climb a short flight of stairs without discomfort, the health care provider should be consulted. Called also extrauterine pregnancy.In a tubal pregnancy a spontaneous abortion may occur, but more often the fetus will grow to a size large enough to rupture the tube.
The symptoms of such a tubal rupture are vaginal bleeding and severe pain in one side of the abdomen. Prompt surgery is necessary to remove the damaged tube and the fetus, and to stop the bleeding. Fortunately, the removal of one tube usually leaves the other one intact, so that future pregnancy is possible. Patients who are Rh-negative should be given Rh0 (D) immune globulin (RhoGAM) after ectopic pregnancy for isoimmunization protection in future pregnancies.Ectopic pregnancy. The fallopian tube is the most common site for ectopic pregnancies but they can also occur on the ovary or the peritoneal surface of the abdominal cavity. The resultant child represents only the male of the marital unit, and may be adopted by the female.pregnancy tests procedures for early determination of pregnancy. By the first missed menstrual period or shortly thereafter, human chorionic gonadotropin (hCG), a hormone secreted by the placenta, is present in the blood and urine of a pregnant woman.
It was formerly determined by bioassay in which a urine or serum specimen was injected into a laboratory animal and the response of ovarian tissue was noted. All testing now uses immunologic techniques based on antigen-antibody binding between hCG and anti-hCG antibody.
Clinical laboratories generally use radioimmunoassay or radioreceptor assay to determine serum hCG levels. The expected date of delivery (EDD) is calculated on the latter basis even if a woman's periods are irregular.
If a woman is certain that coitus occurred only once during the month of conception and if she knows the date on which coitus occurred, the EDD may be calculated as 266 days from that date.
Pregnancy begins after coitus at or near the time of ovulation (usually about 14 days before a woman's next expected menstrual period). Of the millions of ejaculated sperm cells, thousands reach the female ovum in the outer end of the fallopian tube, but usually only one penetrates the egg for union of the male and female pronuclei and conception. The zygote, genetically a unique entity, begins cell division as it is transported to the uterine cavity, where it implants in the uterine wall. Maternal and embryological elements together form the beginnings of the placenta, which grows into the substance of the uterus. The placenta functions in maternal-fetal exchange of nutrients and waste products, although the maternal and fetal bloods do not normally mix. Although an immune response is normally activated in the mother, all of her tissues and organs undergo change, many of them profound and some of them permanent. The increase begins at about the sixth week, reaches a maximum about the sixteenth week, declines slightly after the thirtieth week, and rapidly falls off after delivery. Blood pressure may drop slightly after the twelfth week of gestation and return to its usual level after the twenty-sixth week. Total blood volume also increases in pregnancy; plasma volume increases more than red cell volume, and this results in a drop in the hematocrit, caused by dilution. See At-risk pregnancy, Cervical pregnancy, Clinical pregnancy, Crisis pregnancy, Ectopic pregnancy, Fatty liver of pregnancy, High-risk pregnancy, Mole pregnancy, Multifetal pregnancy, Postterm pregnancy, Pseudopreganancy, PUPPP, Selective termination of pregnancy, Sympathy pregnancy, Teenage pregnancy, Tubal pregnancy, Unwanted pregnancy.
Pregnancy test results are positive owing to the presence of human chorionic gonadotropin (hCG) in blood and urine.
Signs and symptoms arise as the growing embryo distends the fallopian tube; associated complaints include intermittent, unilateral, colicky abdominal pain. Ovarian: Conception and implantation within the ovary itself occurs in approximately 1 in 7,000 to 1 in 50,000 pregnancies. It has also largely replaced culdocentesis for confirmation of hemoperitoneum.TreatmentAn operative approach is most common. Laparoscopy and linear laser salpingostomy can be used to excise early ectopic implantations; healing is by secondary intention.
Salpingectomy is reserved for cases in which tubal damage is so extensive that reanastomosis is not possible. Methotrexate has been used successfully to induce dissolution of unruptured tubal masses less than 3.5 cm.
An IV fluid infusion via a large-bore cannula is started and blood is drawn to type and cross (including Rh-compatibility) for potential transfusion. Medications (including RhoGAM if the patient is Rh negative) may be prescribed and administered and the patient's response evaluated. The patient's and family's wishes regarding religious rites for the products of conception are determined. Prescribed analgesics and other medications are administered, and the patient evaluated for desired and adverse effects.
Pregnancy in association with these conditions is more likely to compromise the health of the mother or developing fetus than are normal pregnancies.
In about one-half of twin pregnancies diagnosed by ultrasound early in the first trimester, one twin will silently abort, and this may or may not be accompanied by bleeding. The incidence of birth defects in each embryo of a twin pregnancy is twice that in singular pregnancies.



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