{"id":7300,"date":"2019-05-14T08:01:15","date_gmt":"2019-05-14T08:01:15","guid":{"rendered":"https:\/\/locaacademiafamiliar.com\/?p=7300"},"modified":"2019-05-10T13:16:00","modified_gmt":"2019-05-10T13:16:00","slug":"embaras-de-bessons-preguntes-i-respostes-frequents","status":"publish","type":"post","link":"https:\/\/locaacademiafamiliar.com\/ca\/2019\/embaras-de-bessons-preguntes-i-respostes-frequents\/","title":{"rendered":"Embar\u00e0s de Bessons: preguntes i respostes freq\u00fcents"},"content":{"rendered":"

Has fet la primera ecografia i SORPRESA s\u00f3n DOS !!<\/strong><\/p>\n

Felicitats! Segur que t’han sorgit mil dubtes alhora. En aquest article resoldr\u00e0s els primers dubtes que tinguis, tot i que la obstetra que et controli l’embar\u00e0s<\/a> ser\u00e0 la responsable del teu cas en concret.<\/strong><\/p>\n

Comen\u00e7o explicant els diferents tipus d’embar\u00e0s de bessons<\/strong>…<\/p>\n

Bicorial-Biamni\u00f2tic<\/h3>\n

Dues placentes i dues bosses amni\u00f2tiques<\/strong>. \u00c9s l’embar\u00e0s de bessons ideal ja que cada nad\u00f3 t\u00e9 la seva bossa i la seva placenta pr\u00f2pia, de manera que en principi subministrament d’aliment i oxigen per a cada un.<\/p>\n

Monocorial-Biamni\u00f2tic<\/h3>\n

Una placenta i dues bosses amni\u00f2tiques<\/strong>. En aquest cas cada nad\u00f3 t\u00e9 el seu “lloc” per\u00f2 la placenta \u00e9s compartida, aix\u00ed que hi ha un mateix subministrament d’aliment i d’oxigen per als dos.<\/p>\n

El risc en aquest cas seria que un nad\u00f3 reb\u00e9s m\u00e9s volum de sang que l’altre, aix\u00f2 passa en el 10-15% dels embarassos monocorials i s’anomena “S\u00edndrome de Transfusi\u00f3 Feto-fetal”. Si vols m\u00e9s informaci\u00f3 sobre aquesta s\u00edndrome pots consultar en aquesta p\u00e0gina web de l’Hospital Cl\u00ednic de Barcelona.<\/strong><\/a><\/p>\n

Monocorial – Monoamni\u00f2tic<\/h3>\n

Una placenta i una bossa amni\u00f2tica<\/strong>. En aquest cas a m\u00e9s a m\u00e9s de compartir el subministrament d’aliment i oxigen, tamb\u00e9 comparteixen espai.<\/p>\n

Al risc de la S\u00edndrome de Transfusi\u00f3 Feto-Fetal se li afegeix el risc de enxarxament dels cordons umbilicals. Com que no hi ha separaci\u00f3 entre els cordons umbilicals, aquests poden enredar entre si.<\/p>\n

\"\"<\/p>\n

Tindr\u00e9 m\u00e9s controls del que \u00e9s habitual?<\/h3>\n

S\u00ed. Tots els embarassos de bessons tenen m\u00e9s controls que els que s\u00f3n embarassos \u00fanics.<\/strong> Si a m\u00e9s tens un embar\u00e0s monocorial encara seran m\u00e9s exhaustius. A mesura que avan\u00e7a l’embar\u00e0s van augmentant les ecografies i els controls, arribant a ser, fins i tot, cada setmana.<\/strong><\/p>\n

Els bessons has de n\u00e9ixer via ces\u00e0ria?<\/h3>\n

No sempre. Hi ha alguns sup\u00f2sits que permeten el naixement via vaginal de bessons i altres sup\u00f2sits que ho impedeixen.<\/strong> Cada cas \u00e9s \u00fanic i el teu obstetra et dir\u00e0 quina \u00e9s la teva millor opci\u00f3.<\/p>\n

En l\u00ednies generals, sense ces\u00e0ria anterior (d’un fill gran), podrien n\u00e9ixer via vaginal si el nad\u00f3 m\u00e9s proper a la “sortida” est\u00e0 de cap<\/strong>. Ser\u00e0 una contraindicaci\u00f3 per a un part vaginal si, per contra, est\u00e0 amb els peus per davant, perqu\u00e8 es podria donar un engatillamento dels caps que no permetria el naixement de cap dels nadons.<\/p>\n

Hi ha moltes altres causes que recomanarien una ces\u00e0ria<\/a><\/strong>, el nostre consell sempre \u00e9s que confi\u00efs en la persona que controla la teva gestaci\u00f3.<\/strong> Si volguessis una segona opini\u00f3, pensa que l’admissi\u00f3 a un hospital \u00e9s llarga aix\u00ed que fes els tr\u00e0mits amb temps.<\/p>\n

He de fer rep\u00f2s des del principi de l’embar\u00e0s?<\/h3>\n

A priori, no. Pel fet de ser bessons no cal el rep\u00f2s des del primer moment per\u00f2 hi ha situacions que el recomanarien,<\/strong> com ara un risc d’avortament o una amena\u00e7a de part prematur.<\/p>\n

Quan he d’anar a urg\u00e8ncies en el primer trimestre?<\/h3>\n

En els mateixos sup\u00f2sits que un embar\u00e0s \u00fanic:<\/strong> sagnat, dolor, febre, problemes en orinar, v\u00f2mits excessius (hiper\u00e8mesi) o qualsevol altre dubte. T’ho expliquem de manera detallada en aquest altre article: quan anar a urg\u00e8ncies si estic embarassada.<\/strong><\/a><\/p>\n

Seran prematurs?<\/h3>\n

Els embarassos de bessons tenen m\u00e9s risc de part prematur aix\u00ed que tindr\u00e0s m\u00e9s controls i cal estar m\u00e9s atents als senyals d’alarma<\/strong>. Per exemple, anir\u00e0s a urg\u00e8ncies en cas de contraccions o en cas de trencar aig\u00fces sobretot si encara queden setmanes per a la data probable de part.<\/p>\n

D’altra banda, en cas d’embarassos monocorials se sol induir el part<\/a> o fer una ces\u00e0ria poc despr\u00e9s de les 36 setmanes<\/strong> de gestaci\u00f3 aix\u00ed que moltes vegades ni tan sols s’arriba a les 37.<\/p>\n

Podr\u00e9 donar-los el pit a tots dos?<\/h3>\n

La producci\u00f3 de llet materna dep\u00e8n de la demanda aix\u00ed que com m\u00e9s et demanin m\u00e9s tindr\u00e0s<\/strong>. Si s\u00f3n dos nadons que demanen molta llet, doncs en tindr\u00e0s per a tots dos \ud83d\ude42 Tampoc sense enganyar-te: no ser\u00e0 f\u00e0cil<\/strong>. Si tens dubtes o problemes amb la lact\u00e0ncia pots anar a grups de suport a la lact\u00e0ncia<\/a> com t’expliquem en l’altre post.<\/strong><\/p>\n

A mi m’agrada recordar una realitat, quan hi ha dubtes sobre si fer pit o bibe: el pit sempre es pot intentar, si no surt b\u00e9 doncs es deixa i es passa al bibe. Al rev\u00e9s, no es pot fer.<\/strong> M\u00e9s consells sobre lact\u00e0ncia materna<\/a><\/strong>.<\/p>\n

\n

Espero que hi hagi resolt els teus dubtes m\u00e9s primordials.<\/p>\n

Feli\u00e7 embar\u00e0s!<\/p>\n","protected":false},"excerpt":{"rendered":"

Has fet la primera ecografia i SORPRESA s\u00f3n DOS !! Felicitats! Segur que t’han sorgit mil dubtes alhora. En aquest article resoldr\u00e0s els primers dubtes que tinguis, tot i que la obstetra que et controli l’embar\u00e0s ser\u00e0 la responsable del teu cas en concret. […]<\/a><\/p>\n<\/div>","protected":false},"author":2,"featured_media":7293,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[38],"tags":[94],"class_list":{"0":"post-7300","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-historia-ca","8":"tag-embaras"},"yoast_head":"\nEmbar\u00e0s de Bessons: preguntes i respostes freq\u00fcents<\/title>\n<meta name=\"description\" content=\"Preguntes i dubtes freq\u00fcents quan saps que est\u00e0s embarassada de bessons. Seran prematurs? Podr\u00e9 donar-los el pit a tots dos? 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