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Twin Pregnancy Clinic - SWH

Multiple births occur when you are pregnant with more than one child. If you are carrying two babies then they are called twins, and if you are carrying the three babies, they are called triplets. Multiple births are becoming more common as more women use fertility treatments and have children later in life. Multiple pregnancies are categorised as High Risk Pregnancies due to the increased maternal and fetal risks involved.
Being pregnant with multiples requires special care. If you are expecting twins or more then consult our perinatal specialists at Twin Pregnancy Clinic, sakra.

Sakra, the Best Twin Pregnancy Hospital in Bangalore is launching a Twin Pregnancy Clinic for multiple pregnancies.
The twin pregnancy clinic offers convenient multidisciplinary care with the goal of improving both maternal and fetal outcomes.
We provide personalised care focused on individualized counselling about each woman’s risk factors and management with the goal of achieving the best possible maternal and neonatal outcomes. This includes providing the most favourable and safest environment for delivery. We have a state-of-the-art labour wards, labour Ots, neonatal ICU (NICU) to provide round the clock excellent care for moms and babies.
Our Neonatal care services offer specialised care to babies born prematurely (before 37 weeks of pregnancy), with low birth weight (less than 2.5Kgs), or with a medical condition such as heart problems, infections, or birth defects that require specialised treatment. Our neonatologists will provide you with important information about nursing your baby. With the highly advanced Neonatal Intensive Care Unit, our expert team aims to provide high-quality care and overall development for newborns.

How common are multiple births?

Multiple births have become more common in recent years as more people use fertility drugs and procedures, like IVF to help conceive a child.

What are the symptoms and signs of multiple pregnancies?

If you have multiple pregnancies, you may experience more severe pregnancy symptoms than with a single pregnancy.

If you are pregnant with more than one baby then an ultrasound examination with your healthcare provider during your pregnancy is the only way to know. During this exam, your doctor will look at images of the inside of your uterus to determine how many babies are there.

What extra care will I need during pregnancy?

Throughout your pregnancy, you will be under the care of a specialised healthcare team including perinatologists, High risk pregnancy specialists, Foetal medicine specialists, Neonatologists, clinical nutritionists, Obstetric physiotherapists, counsellers, Intensivists, Transfusion medicine specialist etc.
You will have a personalised plan of care for your pregnancy and birth, which will include additional antenatal clinic visits and foetal scans.
Your first appointment with your specialist team is the most important consultation. You would be given information about what to expect from multiple pregnancies as well as a detailed plan of care. This should happen by the time you're 12 weeks pregnant.

Sakra Twin Pregnancy Clinic in Bangalore has experienced maternal-fetal medicine specialists, or perinatologists, who have a special interest in caring for women who are pregnant with multiples. These devoted caregivers are well experienced in dealing with the numerous potential complications that can arise during the prenatal management and delivery of multiple gestations. A wide range of prenatal screening and diagnostic tests are available, as well as a state-of-the-art foetal medicine unit on-site.

Sakra is a place where every pregnant woman receives appropriate maternity care throughout her pregnancy. The best physiotherapists in Bangalore offer a variety of treatment plans that are beneficial to would-be mothers throughout their entire pregnancy. We have the infrastructure, expertise and experience to deal with complications which may arise in caring for multiple pregnancies under one roof. We have in-house blood bank if there is a requirement for blood transfusion during delivery. Antanatal consultations with medical specialists such as anaesthesiologists, neonatologists and paediatric surgeons, are arranged as necessary.

What kind of prenatal care do you need if you’re pregnant with multiples?

If you’re pregnant with multiples, you may need extra medical care during pregnancy, labor and birth. You may need to go to extra prenatal care checkups so your provider can watch you and your babies for problems. You also may need more prenatal tests (such as ultrasounds) to check on your growing babies throughout your pregnancy.

If you’ve had pregnancy complications in the past or if you have health conditions that put you at risk for pregnancy complications, your provider may refer you to a maternal-fetal medicine specialist. This is a doctor who specializes in high-risk pregnancies. High-risk means you’re more likely than most pregnant people to have problems with your pregnancy. If you’re referred to this kind of doctor, it doesn’t mean you’ll have problems during pregnancy. It just means they can check you and your babies more closely to help prevent or treat any conditions that may happen.

How can a multiple pregnancy affect your health?

The following complications are more common in people who are pregnant with multiples:

 Preterm labor. This is labor that happens too early, before 37 weeks of pregnancy. Preterm labor can lead to premature birth (birth  before 37 weeks of pregnancy).

 Anemia. Anemia is when you don’t have enough healthy red blood cells to carry oxygen to the rest of your body. A condition called  iron-deficiency anemia is common in multiple pregnancies and can increase your chances of premature birth. Your provider may  prescribe an iron supplement for you to make sure you’re getting enough iron.

 Gestational diabetes. This is a kind of diabetes that only pregnant people can get. If untreated, it can cause serious health problems  for you and your babies. Diabetes is when you have too much sugar (called blood sugar or glucose) in your blood.

 Gestational hypertension or preeclampsia. These are types of high blood pressure that only pregnant people can get. High blood  pressure is when the force of blood against the walls of your blood vessels is too high. It can cause problems during pregnancy.  Preeclampsia is a condition that can happen after the 20th week of pregnancy or right after pregnancy. It’s when a pregnant  person has high blood pressure and signs that some of their organs, like the kidneys and liver, may not be working properly.

 Hyperemesis gravidarum. This is severe nausea and vomiting.

 Intrahepatic cholestasis of pregnancy (also called ICP). ICP is a liver condition that slows the normal flow of bile, causing bile to  build up in the liver. Bile is a fluid that helps your body break down fats and helps the liver get rid of toxins (poisonous substances).  This buildup can cause chemicals called bile acids to spill into your blood and tissues, leading to severe itching.

 Polyhydramnios. This is when there’s too much amniotic fluid. Amniotic fluid is the fluid that surrounds the baby in the uterus.

 Miscarriage or stillbirth. Miscarriage is when a baby dies before 20 weeks of pregnancy. Stillbirth is when a baby dies after 20 weeks  of pregnancy. Some people who are pregnant with multiples have a condition called vanishing twin syndrome. This is when one or  more babies die during the pregnancy and one baby survives.

 Postpartum hemorrhage. This is heavy bleeding after giving birth. It’s a serious but rare condition.

How can being pregnant with multiples affect your babies’ health?

If you’re pregnant with multiples, your babies are more likely to have health complications, including:

 Preterm birth. Premature babies (born before 37 weeks of pregnancy) may have more health problems or need to stay in the  hospital longer than babies who are born close to their due date. Some may spend time in a hospital’s newborn intensive care unit  (also called NICU). Premature babies also may have health problems that can affect them later in life. More than half of twins and  nearly all triplets and other higher-order multiples are born earlier than they should be.

 Birth defects. Birth defects are health conditions that are present at birth. They change the shape or function of one or more parts  of the body. Birth defects can cause problems in overall health, how the body develops or how the body works. Multiples are about  twice as likely as singleton babies to have birth defects, including neural tube defects (such as spina bifida), cerebral palsy,  congenital heart defects and birth defects that affect the digestive system.

 Growth problems. Multiples are usually smaller than singleton babies. Your provider can use ultrasound to check your babies’  growth at prenatal care checkups. When one twin is much smaller than the other, they’re called discordant twins. Discordant twins  are more likely to have health problems during pregnancy and after birth.

 Low birthweight. This is when your baby is born weighing less than 5 pounds, 8 ounces. Babies whose weight is lower than it should  be at birth are more likely than babies born at a normal weight to have certain health problems, such as retinopathy of prematurity.  They’re also more likely to have health problems later in life, like high blood pressure. More than half of twins and nearly all higher  order multiples weigh less than they should at birth.

 Twin-twin transfusion syndrome. This condition happens when identical twins share a placenta and one baby gets too much blood  flow, while the other baby doesn’t get enough. The placenta grows in the uterus and supplies your babies with food and oxygen  through the umbilical cord. Twin-twin transfusion syndrome can be treated with laser surgery to seal off the connection between  the babies’ blood vessels and amniocentesis to drain off extra fluid.


Dr. Prabha Ramakrishna

Senior Consultant - Obstetrics & Gynaecology

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Dr. Chitra Srinivas

Senior Consultant - Obstetrics & Gynaecology

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Dr. Kavitha V Reddy

Consultant - Obstetrics & Gynaecology

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Dr. Anupama Rani V

Consultant - Obstetrics & Gynaecology

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Dr. Shilpa Kava

Visiting Consultant – Obstetrics & Gynaecology

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Dr. Rajath Athreya

Senior Consultant and HOD – Paediatrics & Neonaotology

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Dr. ShivaKumar Samburgi

Senior Consultant - Pediatrics & Neonatology

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Dr. Ravi Kiran S

Visiting Consultant - Pediatrics & Neonatology

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Dr. Varsha Saxena

Visiting Consultant - Pediatrics MBBS, M.D. (Pediatrics)

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