My husband and I were surprised last November when the doctors found a 2nd heartbeat at my 6-week ultrasound. At the time we had an 18-month old little boy so the thought of doing what we did with him twice seemed like an impossibility.
A few weeks after our initial ultrasound we found out we were having identical twins and a few weeks after that we discovered that they were girls. The whole idea of tripling our family was sinking in and our excitement grew with every passing day. Unfortunately, our excitement was replaced with fear when our girls were diagnosed with twin-to-twin transfusion syndrome (TTTS), a condition where 1 baby is taking nutrients from the other baby due to an imbalance in the veins in the placenta. Full Entry »
Women who are pregnant with twins have a unique set of health concerns and need to follow a different pregnancy path than women pregnant with one baby.
To alleviate some of the anxiety expecting mothers may have while pregnant with multiples, every new mom should ask their OB/GYN 5 specific questions to ensure their high-risk pregnancy will have the greatest chance for a healthy, full-term birth.
Similar to the weight gain debate, there is no clear-cut answer, nor is there an absolute consensus as to the “ideal amount” micro and macronutrients a woman needs when carrying a twin gestation. Fortunately, there are studies in the works (including some here at Texas Children’s Hospital) attempting to better quantify the caloric and nutritional requirements in this population. Full Entry »
One of the questions I’m commonly asked by patients with twin pregnancies is “how much weight should I gain?”
Well, to be honest, there is no clear-cut answer, nor is there an absolute consensus as to the “ideal amount” a woman carrying twins should gain. The Institute of Medicine (IOM) put forth recommendations in 2009 outlining the optimal cumulative weight gain by term in twin pregnancies. In fact, these recommendations were examined in several research projects and the results demonstrated fewer preterm births and higher birth weight in women who had a normal pre-pregnancy BMI and gained the recommended amount. Full Entry »
At Texas Children’s Hospital, in addition to the care and safety of our patients, we also view the safety of everyone visiting and working in our hospital to be a top priority. That’s why before opening outpatient services at the Pavilion for Women, we conducted realistic, emergency response simulation sessions to give our team valuable hands-on response experience in our new facility.
Simulation is a methodology that can not only be used for educating and training, but also for testing new patient care environments, equipment and processes. In situ simulation is a simulation that is physically integrated into a real clinical environment and provides a method for identifying possible safety hazards in high-risk areas and help our staff prepare for various types of emergency situations that may arise in a hospital setting. It enables the team to identify the resources, systems and design adaptations of the new facility that impact a timely response Full Entry »