iVillage logo
Pregnancy & Baby 
Advertisement
Topics
iVillage shopping

Hot stuff
Newsletters
sign up for FREE!




 
Promotions

Twins and premature labour


question
I am 33 weeks pregnant with twins. I have been having contractions since 29 weeks. I'm on terbutiline and have been in hospital three times on magnesium sulphate. On the ultrasound scan today, I was told that there is reduced fluid around the babies and some calcium. Both babies have their own placenta. Can you tell me what this means? I am having trouble finding information about reduced fluid in the placenta.

answer
It sounds as if your uterine muscle has been active for several weeks now and this attempt at premature labour has been successfully quietened by the use of the terbutiline. The average length of a twin pregnancy is about 37 weeks, and 10% deliver before 34 weeks.

We don't know what mechanism starts labour off, but we do know that a reduction in the amount of fluid surrounding the babies is an indication that things could be happening. Hence the reference to this at your recent ultrasound examination. Placental activity is also thought to be involved with the initiation of labour: As the placenta ages, labour begins.

It is important to monitor the 'ageing' placenta and particularly the rate of circulation to your babies. Age changes in the placenta - usually within the blood vessels - are noted on ultrasound examination by deposits of calcium in the placental tissues. It is the same sort of process that happens in our own blood vessels as they 'age' - although the relative life span of the organs is, of course, very different. I hope that my comments help you - and I wish you 'all' a successful, happy delivery.

iVillage TV - Pregnancy experts

View video in larger player
Delicious     Digg     reddit     Facebook     StumbleUpon