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MULTIPLE BIRTH BY FHAZRI REZA NURMAJID FITRI SUSANTI

A. Content Of The Text Multiple births (multiple birth) is the birth of two or more individuals in the same pregnancy. If the child produced three called Triplets, if four are called quadruplets, and if five are called quintuplets. Frequent multiple births are twins (twins). Twins occur if there are individuals in the uterus in the same pregnancy. There are two types of multiple births, twins are fraternal and identical twins. At the birth of fraternal, twins born to be different sexes. In identical twins, who were born twins have the same sex. In fraternal twins, two embryos derived from two ova are fertilized by two sperm. Fraternal twins may look similar to each other, but also can be seen dangat different. Identical twins come from a single fertilized ovum sperm cells. Melting it produces a zygote, which then divides into two embryos. Both embryo grows into a fetus in the womb together. Identical twins have a similar appearance, but in the end looks different because of lifestyle choices each. Conjoined twins occur when the zygote of identical twins fails to separate completely.

B. Intervensi 

Khorionisitas Khorionisitas is one of the important outcomes of multiple pregnancy and can be best

seen in the first trimester nuchal translucency and can also be measured. Reduction activities and the recommendation to stop work generally intended for premature birth prevention strategies. This is a preventive intervention or control observational study of geography with debatable results. Not enough evidence to support a reduction in activity or leave work in multiple gestations.  Cervical Cerclase

Installation sirclase cervix as prophylaxis was not effective in preventing premature births multiple pregnancy. A Sirclase is indicated for the treatment of cervical incompetence.

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But. If the child produced three called Triplets. clinical assessment of the cervix appears to be safe and effective falam monitor multiple pregnancy.  Preterm Birth Prevention Program Multiple intervention programs to prevent preterm birth have been evaluated in several observational studies contemporary. There is moderate evidence against tocolytic prophylaxis in the management of multiple gestation. if four disebutquadruplets. Clinical Assessment of Cervical Pregnancy Doubles In although less rigorous.  Assessment of Cervical In Multiple Pregnancy Transvaginal ultrasound cervical assessment to assess the status of the cervix. In identical twins. Frequent multiple births are twins (twins). Twins occur if there are individuals in the uterus in the same pregnancy. twins are fraternal and identical twins. At the birth of fraternal. All the studies suggested to reduce preterm birth rate decrease perinatal mortality and improving perinatal outcomes. 2 . however. Obtained good evidence that changes in premature cervical digital examination can predict preterm birth in multiple pregnancy. Prophylactic tocolytic therapy Almost all RCTs failed to show the advantages of oral or intravenous tocolytic therapy in multiple gestations. Conclusion Multiple births (multiple birth) is the birth of two or more individuals in the same pregnancy. if not DAPT performed transvaginal ultrasound or too expensive. Obtained strong evidence that measurement of cervical length by transvaginal ultrasound to predict preterm birth in multiple pregnancy. twins born to be different sexes. when compared with transvaginal sonography. digital examination more subjective. There are two types of multiple births. but this is indicated on the weight. who were born twins have the same sex. the possibility of preterm birth in multiple pregnancy. It seems there is a correlation between cervical length and the risk of preterm delivery. C. and if five are called quintuplets.

REFERENCES http://damaqoriy.com/medicine-and-health/gynecology/2225582-kehamilanganda/#ixzz27ZwUZ9w8 3 .com/2010/05/kelahiran-ganda.html http://id.shvoong.blogspot.