MENSTRUAL CYCLE:

  • The menstrual cycle is the monthly series of changes a woman’s body goes through in preparation for the possibility of pregnancy.
  • Normal cycle length is every 21 to 35 days and lasting for 2-7 days

CAUSES OF IRREGULAR MENSTRUAL CYCLE (IRREGULAR PERIODS):

  • Pregnancy
  • Breast feeding
  • Eating disorder
  • Excessive weight gain or weight loss
  • PCOS
  • Excess physical or mental stress.
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MULTIPLE PREGNANCY

  • It is a condition where the woman is carrying more than one baby in the womb. It may be twins, triplets or more.
  • It is a very common condition associated with Assisted Reproductive Treatment.g

Types:

  • Dizygotic or Non identical Twins:
  • Results from the fertilization of two ova.
  • Monozygotic or identical twins:
  • Results from the fertilization of single ova.
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Complications:

  • Excessive nausea and vomiting
  • Increased risk of pregnancy induced hypertension
  • Increased risk of gestational diabetes
  • Increased fluid levels (hydramnios)
  • Pre-term labour
  • Post-partum haemorrhage
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Pre Natal Care Plan:

  • Increased nutrition
  • Increased rest
  • More frequent pre natal visits
  • Monthly ultrasounds
  • Tocolytic Medicines to prevent early labour.
  • Steroid Injections to accelerate lung maturity.
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