Overcoming The Weight Of Twins That Differ Greatly At 4 Months Of Pregnancy?

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Hay doctor, I just had an ultrasound yesterday. 25w2d gestational age, my fetus twins baby A head is below, and baby B is still breech, baby A with bbj 881gr baby B with bbj 562gr l. The baby’s heartbeat is all normal and has sufficient amniotic fluid. Yet when the ultrasound was 1 month ago the bbj was balanced, namely a baby with a 533gr and a baby B bbj 510gr. My question: is it possible that in a month baby B only has a 30gr increase? does fetal body weight B still catch up or balance with fetus A? What should I do so that the weight does not spread too far. Thanks.

1 Answer:

Hello Khairun,

Thank you for the question, we understand your concern.

Differences in fetal weight in multiple pregnancies can occur along with fetal growth and development. This happens because in multiple pregnancies, there are several possibilities for the condition of the two fetuses, namely the two fetuses are connected to one placenta or each fetus is connected to their respective placentas, as well as the amniotic sac that surrounds it. Thus, fetal nutrient intake from the placenta, and fetal movement facilitated by the amniotic sac, can vary according to these conditions, and there is no specific method that can increase the weight of the two fetuses to balance.

Basically, if differences in fetal weight occur at around 25 weeks' gestation, this is not something to worry about because these differences will tend to change with time, and will be more significant if differences in body weight occur in the period leading up to delivery. This difference in fetal body weight can also be influenced by ultrasound examination factors, and fetal weight displayed on this ultrasound device is only an estimate and should not be used as a definite reference for fetal weight.

Therefore, you should discuss this with your obstetrician, whether there are signs of interference that occurs in this twin pregnancy. You should always routinely control pregnancy with your doctor and don't forget to meet your nutritional needs as a pregnant woman.

Hopefully this information can help you.

Regards.

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