K.M.C.COLLEGE OF NURSING MEERUT U.

SUBJECT: NURSING EDUCATION

multiple pregnancy

Submitted To Submitted By
Ms. Natasha Verma Mrs. Jyoti Katiyar
Assistant Professor M.Sc. Nursing First Year
LESSON PLAN ON multiple pregnancy

Name of Subject Teacher Ms. Natasha Verma

Name of student teacher: Ms Jyoti katiyar.

Name of subject : Nursing Education

Name of Topic : multiple pregnancy

Class/Group/Batch : M.Sc. Nursing Previous year

Date/Time :

Venue : M.Sc. Nursing Previous year classroom

Previous Knowledge : The student have some knowledge about the topic multiple pregnancy
method
 Method of Teaching : multiple pregnancy, Discussion

Audiovisual Aids : Blackboard, Chart, Liquefied Crystal Display, Overhead Projector

GENERAL OBJECTIVE: After teaching the students will gain knowledge about the topic multiple pregnancy.

SPECIFIC OBJECTIVES: After completion of class the students will be able to:

1. Introduce the topic multiple pregnancy

2. Define the term multiple pregnancy
3. Causes of multiple pregnancy
4. Stages of multiple pregnancy
5. Symptoms of multiple pregnancy
6. Risk factor of multiple pregnancy
7. Diagnosis of multiple pregnancy
8. Management of multiple pregnancy
S. TIM SPECIFIC CONTENTS TEACHING A. V. EVALUATION
NO. E OBJECTIVES LEARNING AIDS
ACTIVITY

1. 1 To introduce the Lecture and LCD Introduce the

min. topic multiple Twin pregnancy: What twins or Discussion term multiple
pregnancy
multiples mean for mom pregnancy?

Being pregnant with multiples takes special care. Know what

to expect, from nutrition and weight gain to possible
complications.

By Mayo Clinic Staff

2. 3 Question-ing Black- What do you

min. If you're having a twin pregnancy or other multiples, here's what and board multiple
Define types of you need to know to take good care of yourself — and your answering pregnancy?
multiple pregnancy babies.

How multiples are made

Sometimes a twin or triplet pregnancy just happens. In other
cases, specific factors are at play. For example, a twin pregnancy
is more likely as you get older because hormonal changes can
cause more than one egg to be released at a time. Use of
. lecture and LCD Define the types
assisted reproductive technologies — such as in vitro fertilization
Discussion of multiple
— also increases the odds of twins or other multiples.
pregnancy?
Fraternal twins — the most common kind of twins — occur when
two separate eggs are fertilized by two different sperm. Each twin
 has his or her own placenta and amniotic sac. The twins can be
3. two girls, two boys, or a boy and a girl.
5 min To describe
symptoms of Identical twins occur when a single fertilized egg splits and
multiple pregnancy develops into two fetuses. Identical twins might share a placenta
and an amniotic sac or the twins might share a placenta and each
have separate amniotic sacs. Genetically, the two babies are
identical. They'll be the same sex and share physical traits and
characteristics. Rarely, identical twins fail to completely separate
. into two individuals. These babies are known as conjoined twins.
Triplets and other higher order multiples can be identical, fraternal lecture and LCD
or a combination of both. Discussion What are the
symptoms of
Diagnosing a twin pregnancy multiple
pregnancy?
Most twin or multiple pregnancies are discovered during an
ultrasound. During this exam, sound waves are used to create
images of your uterus and baby — or babies.

. Sometimes a seemingly normal twin pregnancy is later found to

have only one baby. This is known as vanishing twin syndrome.
Such an episode can be heartbreaking, frustrating and confusing.
Often, there's no clear explanation for the loss.

What multiples mean for you

Taking care of yourself is the best way to take care of your
babies. If you're carrying multiples, you can expect:

 More-frequent checkups. You'll see your health care

. Question-ing
provider often to track your babies' growth and development,
and
monitor your health, and watch for signs of preterm labor. You Answering LCD
 might need frequent ultrasounds or other tests, especially as
your pregnancy progresses.
 More weight gain. Gaining the right amount of weight can
support your babies' health. For twins, the recommendation is
typically 37 to 54 pounds (about 17 to 25 kilograms) for
women who have a normal weight before pregnancy. This can
typically be accomplished by eating an extra 600 calories a
day. Work with your health care provider to determine what's
right for you.
 Earlier delivery. If labor doesn't start on its own first, your
health care provider might recommend labor induction or a C-
lecture and
section at a certain point in your third trimester to decrease the Discussion
risk of complications in the third trimester. OHP
Consider complications
Healthy multiples are born every day. Still, it's important to be
aware of possible complications. For example:

 Premature birth. The more babies you're carrying, the

less likely you are to carry your pregnancy to term. If you have
signs of preterm labor, you might be given injections of a
steroid medication to speed your babies' lung development.
10 Even then, your baby might experience complications,
5. min. including breathing and digestive difficulties, vision problems,
and infection. Interventions to prolong pregnancy, such as Lecture and
bedrest, aren't recommended because they haven't been discussion Ppt
proved to decrease disease and death in newborns.
 Gestational diabetes. If you're carrying multiples, you're
at increased risk of gestational diabetes. This condition
 causes high blood sugar that can affect your pregnancy and
your babies' health. An endocrinologist, a registered dietitian
or a diabetes educator can help you learn to manage your
blood sugar level during your pregnancy.
 High blood pressure. If you're carrying multiples, you're
at increased risk of developing high blood pressure disorders
during pregnancy.
 C-section delivery. For twins, vaginal delivery is often
possible if the first baby is in a head-down position. If not, a C-
section might be recommended. In some cases, complications
after the vaginal delivery of the first twin might require a C-
section delivery for the second twin. For higher order
multiples, the more common route of delivery is a C-section.
 Twin-twin transfusion. With identical twins, it's possible
for a blood vessel in a shared placenta to result in one baby
receiving too much blood and the other too little. This is a
serious complication for both babies that might result in heart
complications and the need for fetal procedures while you're
still pregnant.
Caring for multiples
Healthy multiples have the same needs as other newborns. But
you might need more rest and support than you imagined,
especially if your babies are born prematurely or need special
medical care after birth. You're also at higher risk of postpartum
depression. If you experience any symptoms of postpartum
depression, talk to your doctor.
Take time to enjoy your babies — and ask friends, loved ones
and others for help when you need it
 BIBLIOGRAPHY:
 WWW.Google.com
 WWW.Wikipedia.com