Today, with ultrasound scans and routine antenatal appointments, unidentified twin pregnancies are virtually unheard of in the United Kingdom. With assisted conception and IVF pregnancies twins are increasingly common. There are two types of twin pregnancies; these are dizygotic, where two eggs have been fertilised and monozygotic, one egg is fertilised and divides into two.
Dizygotic twins are non-identical, have two placentas and these pregnancies are the least complicated of the two but are still considered high risk. Monozygotic twins are called identical and are higher risk because of a shared placenta and possible cord entanglement. Although approximately 50 percent of twins are delivered by Caesarean section, that still leaves another 50 percent born vaginally.
There are many alternative or complimentary therapies that you may have heard of, or indeed used before pregnancy. As with everything it’s important to know what’s safe and what has been shown to be effective.
The NHS maternity review was published on Tuesday 23rd February with quite a fanfare; offering opportunity and choice for women during pregnancy, birth and their postnatal period. As with any hefty document the devil is in the detail. There are recommendations about midwives and obstetricians training together; the introduction of electronic notes that are easily accessible; a more stringently governed clinical staff and the clear promise that women will be given the opportunity to decide where their own portion of that maternity budget is spent.