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Sarcini Multiple

This document discusses multiple pregnancies. It defines a multiple pregnancy as the presence of more than one fetus in the uterus at the same time. It notes that twin pregnancies last an average of 37 weeks, triplet pregnancies 34 weeks, and quadruplet pregnancies 32 weeks. The most common multiple pregnancies are twins, occurring in 1.1% of pregnancies, while triplets occur in 0.013% and quadruplets in 0.000142%. Factors that can lead to multiple pregnancies include family history, advanced maternal age over 30, high parity, race, and fertility treatments. Complications of multiple pregnancies include preterm birth, low birth weight, preeclampsia, gestational diabetes,

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Anastasia Stoian
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110 views26 pages

Sarcini Multiple

This document discusses multiple pregnancies. It defines a multiple pregnancy as the presence of more than one fetus in the uterus at the same time. It notes that twin pregnancies last an average of 37 weeks, triplet pregnancies 34 weeks, and quadruplet pregnancies 32 weeks. The most common multiple pregnancies are twins, occurring in 1.1% of pregnancies, while triplets occur in 0.013% and quadruplets in 0.000142%. Factors that can lead to multiple pregnancies include family history, advanced maternal age over 30, high parity, race, and fertility treatments. Complications of multiple pregnancies include preterm birth, low birth weight, preeclampsia, gestational diabetes,

Uploaded by

Anastasia Stoian
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Sarcini multiple

Proiect realizat de:


Anastasia Stoian
Andreea Botez
Luana Iorescu
Abu Munshar Mayad
Alexandru Roman
UMF Carol Davila - seria 1, grupa 5+6
11 noiembrie 2014

Sarcina multipla reprezinta prezenta a mai mult de un fat in


cavitatea uterina in acelasi timp.

Durata medie a sarcinilor multiple:


Gemeni=37 saptamani

Tripleti=34 saptamani

Cvadrupleti=32 saptamani

Cele mai comune sarcini multiple sunt sarcinile


cu gemeni, intr-un procent de 1.1%.

Sarcinile cu tripleti sunt intr-un procent de


0,013%.

Sarcinile cu cvadrupleti au un procent mai scazut


de 0,000142%.

Factori care pot predispune la o sarcina multipla:


Antecedente personale sau in familie
Varsta inaintata (dupa 30 de ani)
Multiparitatea
Rasa
Tratamentele de fertilitate: stimularea ovariana, fertilizarea in vitro.

Cauzele si mecanismele aparitiei


sarcinilor multiple

Gemenii pot fi:


Monozigotici

Dizigotici

COMPLICATII
Nastere prematura si greutate sub normal

Preeclampsie

Diabet gestational

Desprindere de placenta

Pierderea fetilor

Gemeni prematuri

Pre-eclampsie

Diabet gestational

Desprinderea placentei

O particularitate a sarcinilor multiple este sarcina


cu gemenii siamezi, in cazul in care embrionul se
divide la 13 zile.
In functie de zona in care sunt uniti , siamezii pot
fi de mai multe tipuri:

Siamezi de tip Thoraco-omphalopagus

Siamezi Omphalopagus

Siamezi Thoracopagus

Siamezi cu un geaman parazit

Siamezi Craniopagus

Siamezi Ischiopagus

Siamezi Craniopagus Parasiticus

Siamezi Rachipagus

Pygopagus twins

Operatia de separare a siamezilor

Nasterea gemenilor

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