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28 Weeks Pregnant with Twins or Multiples
The entire journey of pregnancy is peppered with various milestones that function as a great way to keep track of the babies as well as the mother’s progress. Carrying twins at 28 weeks in the womb is one of the crucial ones in that regard since it officially welcomes the third trimester for you. Your doctors, too, would get their game on and begin to focus more intensely on various aspects of your babies, ensuring that they are at their fittest best when they come out into the real world. Right from understanding their position to choosing how to deliver them successfully, a lot of decision making begins to take place this week. All of these points are important in mitigating any fatal risks the babies might face in these final months, and increase the chances of you holding healthy babies in your arms happily.
The Growth of the Babies At 28 Weeks
The onset of the third trimester flags off yet another stage in the development of your babies inside you. This usually does not affect the length of babies anymore but puts its prime focus on getting their weight up to the mark and their bodies protected completely. With a fully developed skeletal structure that continues hardening over the months, fat layers begin to increase and start making your little ones chubby and cute.
Your babies don't yet have fully developed lungs and those will continue to progress step by step every week. The placenta that was providing all the nourishment as well as substances required for sustenance also ends up growing in size with the demands of the babies. It, itself, would be as heavy as a kilogram.
The activities of your little ones will continue with increased intensities. The movement and blinking of eyes will increase in frequency, as your babies will set into a cycle of sleeping and awakening as appropriate for them. Brain convolution development will continue further with increased sensitivity to different stimuli. The amniotic fluid that was completely surrounding your babies will reduce in quantity progressively. This will continue to happen since the babies will take up most of the space inside the uterus, leaving very little amniotic fluid by the end of the pregnancy.
What is the Size of the Babies?
Next time you pop into a supermarket to get some vegetables for the house, take a good look at the eggplants kept there. That’s pretty much how large your babies are inside you. Their length usually does not increase much during this week, staying somewhere around 37 centimetres or so, when measured from their head down to their toes. However, their weight would have jumped up quite a bit, leaving each baby to be nearly 850-900 grams.
Common Bodily Changes
All that your babies are doing throughout this week for most of the time is merely putting on a tremendous amount of fat and gaining weight steadily. This is precisely what your body needs to adapt itself to and undergo changes to suit it.
The activities that your little ones participate within their wonderfully cosy home inside you can make its presence felt to you in various forms. Mothers begin to experience the kicks, punches and tons of other acrobatics that babies carry out inside them. Another addition to this strange feeling is when your babies start to experience hiccups. Since they are taking in amniotic fluid in large quantities as an act of breathing, it tends to flow through the diaphragm speedily, causing hiccups to ensue. While you may not hear the sounds or experience them on the outside when that does happen, the sensations that you feel within you have been termed by many pregnant women to be some of the most enjoyable and funny moments throughout your pregnancy.
Swelling would be a factor that most women get used to by the time the third trimester makes its appearance. While those may not be painful all the time, there would be instances when cramps occur all of a sudden. Mothers have known to complain about a weird sensation in their legs, especially the region around the calves, which feels like cramps. These usually arise when you are lying down for a small break or sleeping peacefully in your bed. Doctors are yet to lock down to a specific condition that might cause cramps to arise, but the numerous changes that undergo within the body make it difficult to do so. Nevertheless, a simple flexing or stretching of the feet and toes, as well as standing on a cold floor can cause the cramps to fade away.
There is something fantastic and marvellous about the fact that the uterus pretty much makes large space for itself inside your body, without causing much pain in any section. Pain is a cause for worry, especially in the pelvic region where the uterus is primarily located. But most of the times, there is merely a sensation of pressure out there. This begins to get a lot more area-specific and quite evident in the latter stages of the pregnancy since the babies start increasing in size tremendously. If the orientation of a baby is such that the head is resting in the pelvic region, the pressure can be felt to be higher than what you usually do. Whenever this happens, it is important to rest for a few minutes until the pressure wanes away.
Symptoms Of Twin Pregnancy at 28 Weeks
The various symptoms you experience in the 28th week of your pregnancy would seem extremely strong in comparison to the rather peaceful weeks that you had just a while ago.
Your pregnancy would suddenly find itself to be synonymous with a dull ache that tends to cover the entire body in general. The cause could vary right from the heavyweight babies in your tummy to the hormones wreaking havoc in various regions of the body. Combined with the stress of the pregnancy, the ache can quickly take its toll on you. Relaxation and breathing exercises have always been the best way to counter it.
If you have been working while you were pregnant, these weeks will start making extensive movements a little tiring for you. The large size of the babies will inevitably put some pressure on the organs responsible for breathing effectively. With a lower amount of breath and, consequently, oxygen being inhaled, it is quite natural for you to feel exhausted easily. Furthermore, random contractions that can strike at any moment of the day can cause you to stop and control yourself before they fade away properly. These minor contractions and shortness of breath can leave you feeling disoriented and frustrated at times.
The increasing size of your breasts would have reached its peak in the previous weeks, but there would be times when they end up leaking milk or yellow coloured colostrum all of a sudden. This leaking can even be in quantities, causing you to soak your bra and, unfortunately, your clothes, too. This is normal but definitely needs to be taken care of.
Twin Pregnancy - Belly At 28 Weeks
With the 7th month of the pregnancy on you, the belly would be as big as it has never been before. The round curvature would be highly pronounced, and the stretch marks could also get stronger, given how intensely the skin needs to stretch itself. An itching sensation could emerge as a result of it.
Certain creams, gels, or oils can help reduce the marks and calm the itching sensation. These are usually safe during pregnancy and do not harm the baby.
Twin Pregnancy At 28 Weeks - Ultrasound
Women who have a normal pregnancy or separate twins, usually don’t undergo a scan as of yet. Most doctors tend to conduct an ultrasound scan in the 28th week of the pregnancy, if any prior pregnancy complications have been detected, or if a woman might have identical twins in her womb. These scans, too, are just a normal routine to monitor the progress.
Scans at this stage don’t reveal much about the babies, except for some eyelashes which might get evident in the coming weeks.
What To Eat
Most doctors would ask you to stick to a specialised diet that focuses on the mother keeping herself healthy and the babies putting on weight as quickly as possible. A dietitian might also be recommended who would specify each food item and its quantity down to the letter. Frequent meals are the way to go here on out. Nearly 6 meals a day is the perfect number. Major calories should enter the body in the mornings while ramping down the intake towards evening. Consumption of salt needs to be cut down to reduce any bouts of swelling. Specific dietary adjustments might be required if the woman has diabetes.
Pregnancy Care Tips
Ensuring a few basic habits and tips can maintain your safety and healthiness to its optimal level.
Dos
If there are any medical appointments, book them in advance right away
Begin to keep track of your baby’s kicks and note them down
Dont's
Avoid drinking caffeinated drinks since it can disturb your baby’s progress
Don’t eliminate exercises completely from your schedule
What You Need To Shop For
Once you know you are having multiple babies, you can purchase specific products for them, such as:
Matching twin one-piece dresses
Car seats explicitly made for twins or triplets
A mother who is 28 weeks pregnant with twins would have a lot of things on her mind, while she continues to balance her mood and health to be at her best. Support her through it and don’t be afraid to offer any help that could make her time better and easier.
Previous Week: Twin Pregnancy Week 27
Next Week: Twin Pregnancy Week 29 Read more
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Rice porridge with pumpkin
This creamy porridge is an ideal and complete baby food. It has the goodness of milk with a colourful and vitamin packed vegetable and the energy packed rice. Try it out for your baby!!
Serves
Preparation Time
Cooking Time
2 People
20 Minutes
10 Minutes
Ingredients
2 cup pumpkin, cooked
2 cup rice, cooked
250 ml milk
1/4 cup Sugar
Method
Step 1
Mash pumpkin lightly.
Step 2
Add rice, milk and sugar.
Step 3
Bring to boil.
Step 4
Serve when lukewarm.
Nutritional Information
Serving Size 214.9 g
Calories
185
Calories from Fat
41
Total Fat
4.5g 7%
Saturated Fat
2.7g 14%
Trans Fat
0.0g
Cholesterol
12mg 4%
Sodium
379mg 16%
Potassium
294mg 8%
Total Carbohydrates
32.6g 11%
Dietary Fiber
3.3g 13%
Sugars
5.1g
Protein
4.4g
Vitamin A
315%
Vitamin C
7%
Calcium
8%
Iron
14%
* Based on a 2000 calorie diet
Nutritional details are an estimate and should only be used as a guide for approximation.
Tip: You can also add salt instead of sugar for a change. Read more
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Helping Kids Cope with Loss and Death
The death of a loved one can be a stressful event for your child. Death is a difficult concept to explain to a child. Most kids do not fully comprehend the concept of death. It is a hard task for any parent to explain these concepts, more so if they are grieving themselves. Find out how to go about it.
When anyone in the family dies, parents face difficulty to understand how to help children cope with the loss. Here are some tips to help your kid overcome the grief and how to answer the questions he is likely to ask you.
1. Be honest
It is very important to be honest with your child. Do not use euphemisms like the dead person has ‘passed away’ or ‘gone away’. Children are unable to look beyond the literal meaning and will be confused or will expect the person to come back. Use clear expressions that he can understand like ‘his body stopped working’. You could include your religious beliefs like ‘he has gone to heaven’ or the concept of rebirth.
2. Make sure the child doesn’t feel guilty about the death
Preschoolers are very centered on themselves and consider themselves responsible for things happening around them. Make sure your child does not, in any way, feel responsible or guilty for the death; especially, if it’s someone he interacted with regularly. Explain to him that being angry with someone or fighting with them or wishing them gone cannot make them die. Also, make sure they do not feel guilty if they want to get back to playing.
3. Talk to him
Help him recognize and express his feelings. Ask him how he’s feeling. Help him identify sadness or anger and help him verbalise it. Talking about feelings is a great way to start resolving them. Sharing your own grief with him will encourage him to share his feelings with you.
4. Give ideas to your child on handling grief
You could ask him to come to you for a hug or cuddle up with a favourite toy when he remembers the person who died. If your child seems reluctant to talk, try to get him express his feelings through toys, books or drawings.
5. Try to keep the routine going:
It is very important to keep the routine going because your child derives a certain comfort from it.
6. Do not get annoyed at unusual behavior
Some children regress due to grief. They might start thumb sucking, bed wetting or talking in baby language. The changes are often temporary, and your child will get over them with time.
Questions You Can Expect
Preschoolers are curious by nature. Be prepared for a barrage of questions. Also, be prepared to answer the same questions over and over again because they process feelings and information in short spells over a long time. They might seem to have forgotten the person and then will come back to you with a query about him.
Here are Some Questions you Need to be Prepared with
What is ‘dead’?
Is dying the same as sleeping?
Are they hurting, feeling cold?
Will they come back?
Will they come back if I am good?
How did it happen?
Try to answer his questions as honestly as you can. If you do not have an answer, do not hesitate to say you do not know it. With an open atmosphere at home, the child will learn to handle his feelings and overcome them soon. Read more
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गर्भधारणा: ३१वा आठवडा
तुमचं बाळ तुमच्याजवळ येण्यासाठी अगदी थोडा काळ राहिला आहे. जर तुम्हाला ३१व्या आठवड्याविषयी काही प्रश्न असतील तर त्यांची उत्तरे हा लेख वाचल्यास तुम्हाला मिळतील आणि त्यानुसार तुम्ही तुमच्या बाळाच्या स्वागताची तयारी करू शकता.
गर्भारपणाच्या ३१व्या आठवड्यातील तुमचे बाळ
आता तुमच्या बाळाच्या मेंदूची वाढ वेगाने होत असते. कोट्यवधी चेतासंधी (synapses) चेतापेशींमध्ये विकसित होत असतात, सगळ्यांना पंचेंद्रियांकडून सतत माहिती मिळत असते. बाळ पोटामध्ये वेगवेगळे हावभाव करीत असते तसेच श्वासोच्छवास घेत असते आणि गर्भजलात पोहत असते तसेच अंगठा चोखण्यात वेळ घालवते. बाळ तुमच्या आवाजास पाय मारून प्रतिसाद देते परंतु त्यामुळे तुम्हाला कुठलीही हानी पोहचत नाही किंवा वेदना होत नाहीत. काही बाळांना सतत उचक्या लागतात त्यामुळे उचक्यांच्या आवाजाने तुम्हाला जाग येणार आहे त्यास तयार रहा. तुमच्या बाळाचे डोळे पूर्णपणे विकसित झाले आहेत आणि त्यामुळे ते प्रकाशास प्रतिसाद देऊ लागले आहे. शरीरावरील स्नायू आणि चरबी आधीपेक्षा खूप जास्त प्रमाणात वाढली आहे. तुम्हाला असे लक्षात येईल की तुमचे बाळ तुम्ही त्याच्यासाठी लावलेल्या वेगवेगळ्या गाण्यांवर डुलत राहील.
बाळाचा आकार केवढा असतो?
गर्भारपणाच्या ३१व्या आठवड्यात बाळाचा आकार हा मोठ्या शहाळ्याएवढा असतो. बाळाचे वजन हे १ किलोग्रॅम इतके असते आणि बाळाची लांबी डोक्यापासून पायाच्या अंगठ्यापर्यंत ४० सेंटीमीटर इतकी असते.
शरीरात होणारे बदल
तुमच्या पोटातील वाढत्या बाळाला घेऊन हालचाल करणे प्रत्येक आठवड्याला अवघड होत चालले आहे. तुम्हाला गर्भारपणाच्या ३१व्या आठवड्यात नवीन काही बदलांचा अनुभव येईल.
श्वसनास त्रास
बाळामुळे गर्भाशयाचा दाब हा फुप्फुसांवर पडतो आणि त्यामुळे नेहमीपेक्षा तुम्ही, उथळ आणि संथ श्वास घ्याल, परंतु तुम्हाला बाळाची काही चिंता नसावी कारण बाळाला नाळेद्वारे ऑक्सिजनचा पुरवठा होतो. जर तुम्ही जास्त धावपळ करत असाल तर थोडा वेग कमी करण्याची गरज आहे. येत्या काही महिन्यांमध्ये फुप्फुसांवरील ताण वाढणार असल्यामुळे श्वसनास त्रास होण्याची शक्यता आहे.
स्तनांमधील स्त्राव
तुमचे स्तन कोलोस्ट्रम (Colostrum) नावाचा पिवळा पदार्थ निर्मिती करण्यास सुरुवात करतील, जे तुमच्या बाळाचे जन्मानंतरचे पहिल्या ३ दिवसाचे अन्न आहे.
नखे तुटणे
आत्तापर्यंत तुमचे केस आणि नखे ह्यांची वाढ वेगाने होत होती, परंतु तुमची नखे आता कोरडी होतील आणि संप्रेरकांमधील बदलांमुळे त्यांना लगेच तडे जातील. त्यामुळे नखे वेळीच कापून छोटी ठेवण्याची काळजी घ्या.
सराव कळा (Braxton Hicks Contractions)
ह्या सराव कळा तुम्ही आधीपेक्षा जास्त अनुभवाल. सजलीत रहा. तसेच एकाच जागी जास्त वेळ बसून किंवा झोपून राहू नका. असे केल्यास अस्वस्थता कमी होण्यास मदत होईल.
रक्ताच्या घनतेमध्ये वाढ
बरीचशी पोषणमूल्ये आणि ऑक्सिजनचा पुरवठा तुमच्या नाळेला केला जात असल्याने तुमच्याकडे ५०% जास्त रक्ताचा साठा आहे.
३१ व्या आठवड्यात आढळणारी गर्भारपणाच्या लक्षणे
तिसऱ्या तिमाहीच्या मध्यावर, गर्भारपणाची लक्षणे खूप बदलतात आणि सहन करण्याची क्षमता कमी होते. तथापि, त्या अस्वस्थतेविषयी आणि त्यावरील उपायांविषयी माहिती असल्यास तुम्हाला त्यातून बाहेर पडणे सहज शक्य होईल.
वारंवार लघवीला होणे
तुम्हाला आधीपेक्षा जास्त वेळ बाथरूमला जावे लागेल. मूत्राशयावर दाब पडल्याने, मुत्राशयामध्ये जास्त प्रमाणात मूत्र साठून रहात नाही.
पाठदुखी
बाळाच्या वजनामुळे तुमच्या पाठीच्या कण्यावर जास्त प्रमाणात दाब पडेल आणि तुमचा बांधा सुद्धा बदलेल. शरीराचा तोल सांभाळणे कठीण होईल. त्यामुळे नियमितपणे स्ट्रेचिंग करा आणि शरीराचा बांधा चांगला राहण्याचे तंत्र शिका.
झोपण्यास त्रास होणे
गर्भारपणामुळे हे होत नाही, परंतु बाकीचे इतर घटक जसे की पेटके येणे, अपचन, रात्रीचे लघवीसाठी उठणे किंवा झोपण्यासाठी आरामदायक स्थिती नसणे इत्यादींमुळे झोपण्यास त्रास होतो.
ओटीपोटात दुखणे
गर्भाशय वाढल्यामुळे ओटीपोटावर दाब पडतो आणि त्यामुळे ओटीपोटात दुखते. ते सहन करणे खूप कठीण असते त्यामुळे तुमच्या डॉक्टरांशी किंवा फिजिओथेरपिस्टशी संपर्क साधून योग्य व्यायाम शिकून घ्या, त्यामुळे तुमचे दुखणे कमी होण्यास मदत होईल.
गर्भधारणेच्या ३१व्या आठवड्यात पोटाचा आकार
गर्भारपणाच्या ३१व्या आठवड्यात तुमचे वजन १०-१२ किलोंनी जास्त असते. ह्या जास्तीच्या वजनामुळे तुम्हाला तोल सांभाळणे कठीण जाईल, परंतु काळजी करण्याचे कारण नाही. तसेच पोटाचा घेर वरून खालपर्यंत ३०सेंमी इतका आहे, तुमच्या पोटाची त्वचा ताणली गेल्यामुळे मॉइश्चरायझर आणून ठेवा.
गर्भधारणेच्या ३१व्या आठवड्यातील सोनोग्राफी
आता इथूनपुढे तुमच्या गर्भारपणातील प्रत्येक प्रगतीवर लक्ष ठेवण्यासाठी तुमचे डॉक्टर्स तुम्हाला दर आठवड्याला सोनोग्राफी करण्यास सांगू शकतात, विशेषतः जर तुम्हाला मधुमेह असेल किंवा तुम्हाला एकापेक्षा जास्त बाळे होणार असतील तर ही शक्यता जास्त असते. स्कॅन मध्ये तुम्हाला कळते की तुमचे बाळ आता पूर्णपणे विकसित झालेले आहे, तसेच बाळाचे सगळे अवयव संपूर्णतः विकसित झालेले आहेत. तुम्ही थ्री डी अल्ट्रासाऊंड सुद्धा करून पाहू शकता, त्यमुळे बाळाचा चेहरा आणि शरीरातील तपशील दिसतील.
बाळाचा आहार कसा असावा?
तुमच्या बाळाची तब्येत तुमच्या आहारावर अवलंबून आहे त्यामुळे प्रथिने, फळे, भाज्या, संपूर्ण धान्य तसेच दुग्धजन्य पदार्थ ह्यांचा योग्य प्रमाणात आहारात समावेश करा. पोटदुखी आणि अपचन टाळण्यासाठी थोड्या थोड्या वेळाने खात रहा. तळलेले, प्रक्रिया केलेले आणि चरबीने समृद्ध असलेले अन्नपदार्थ टाळले पाहिजेत किंवा अगदीच वाटलं तर कधीतरी खा. ३१ व्या आठवड्यात आहारातील बदल खालीलप्रमाणे:
व्हिटॅमिन सी आणि लोह:
तुमचे बाळ स्वतःच्या रक्त पेशी तयार करू लागले आहे त्यामुळे बाळाला आहारामध्ये जास्त लोहाची गरज भासते. आहारामध्ये व्हिटॅमिन सी घेतल्यास लोह शोषणास मदत होते. पालक, आंबट फळे, मासे, मटण आणि हिरव्या पालेभाज्या खा.
कॅल्शिअम:
बाळाच्या हाडांसाठी तसेच नखे, उपास्थी ह्यांच्या विकासासाठी कॅल्शिअमची खूप गरज असते. तसेच निरोगी राहण्यासाठी कॅल्शिअमची गरज असते. भरपूर दूध प्या, कोबी, पालक, टोफू, पनीर, सोयाबीन हे कॅल्शिअम चे उत्तम स्रोत आहेत, त्यांचा आहारात समावेश करा.
तसेच तुमच्या शरीराला लोह आणि कॅल्शिअम दोघांची गरज असते, त्यामुळे लोह आणि कॅल्शिअम एकत्र घेऊ नका कारण कॅल्शिअममुळे लोहाचे शरीरातील शोषण कमी होते. त्यामुळे तुम्ही लोह आणि कॅल्शिअमच्या पूरक गोळ्या दिवसातून वेगवेगळ्या वेळेला घेऊ शकता.
काय काळजी घ्याल आणि त्याविषयीच्या काही टिप्स
इथे काही टिप्स दिल्या आहेत त्या तुम्ही तुमच्या गर्भारपणात जवळ ठेऊ शकता:
हे करा
प्रसुतीपूर्व वर्गांची नोंदणी करण्यासाठी ही योग्य वेळ आहे. त्या वर्गांचे प्रशिक्षक हे बाळाच्या जन्माच्या वेळी येणाऱ्या सगळ्या प्रश्नांची माहिती देतात जसे की दुखण्याचे नियोजन कसे करावे?, ताणापासून सुटका कशी करावी? आणि नवजात बाळाची काळजी कशी घ्यावी? इत्यादी.
तुमची दवाखान्यात जातानाची बॅग भरून ठेवा.
नेहमी दिवसाकाठी कमीत कमी २-३ लिटर्स पाणी प्या त्यामुळे तुम्हाला उत्साही वाटेल तसेच तुम्ही सजलीत रहाल.
kegel सारखे व्यायाम करा त्यामुळे तुमच्या ओटीपोटावरचे स्नायू बळकट होण्यास मदत होईल.
हे करू नका
बाळाच्या पाय मारण्याकडे दुर्लक्ष करू नका. बाळाच्या पाय मारण्याच्या नमुन्याच्या अभ्यासामुळे बाळाचे पोटात असतानाचे मृत्यूचे प्रमाण कमी झाले आहे.
वजन वाढल्यामुळे चेहऱ्याला सूज आली आहे असे समजू नका. कारण ते preeclampsia चे लक्षण असू शकते, त्यामुळे तुमच्या डॉक्टरांशी तात्काळ संवाद साधा.
कुठल्या गोष्टींची खरेदी कराल?
तुमच्या नवजात बाळाची खोली कशी सजवावी ह्याविषयीचा विचार आणि माहिती काढण्यासाठी ही योग्य वेळ आहे. गर्भारपणासाठी पुरेसे मॅटर्निटी कपडे आणून ठेवा, तसेच बाळंतपणानंतर तुम्हाला लागणारे कपडे खरेदी करण्यास विसरू नका. तुम्ही नार्सिंग ब्रा, बाळासाठी बाटल्या आणि इतर गोष्टी आणून ठेवल्या पाहिजेत. जर तुम्ही बाळासाठी क्रिब घेणार असाल तर बंपर्स असलेले क्रिब घेऊ नका तसेच त्यामध्ये उशा, खेळणी किंवा ब्लँकेट्स ठेऊ नका कारण ह्या वस्तूंमुळे सीड्स (Sudden Infant Death Syndrome ) चा धोका असतो. तसेच बाळाला बाहेर नेण्यासाठी छोटी बाबागाडी घ्या त्यामुळे बाळाला ताजी हवा मिळेल.
तुमच्या प्रसूतीची वेळ जवळ आल्यामुळे तुम्ही सगळी तयारी करून ठेवा आणि बाळासोबत आनंदाचे क्षण घालवण्यासाठी तयार रहा.
Read more
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A Guide To Zygote Intrafallopian Transfer(ZIFT) – Infertility Treatment
Zygote Intrafallopian Transfer (ZIFT) is a fertility treatment that may be offered to couples who require help conceiving through assisted reproductive technology (ART). Doctors may recommend this treatment in those cases, where the fallopian tubes are blocked, thereby preventing the fertilization of the sperm with the egg. This procedure, though not as popular as in vitro fertilization (IVF), is quite similar to it. The only difference being, in ZIFT, the eggs are first fertilized in a lab and then the fertilized embryo is directly implanted in the fallopian tubes and not the uterus. The fertilized eggs are known as zygotes. Zygotes are embryos that are single celled as they still haven’t started dividing into further cells. Zygote Intrafallopian transfer is also called “Tubal Embryo Transfer” (TET) as the fertilized egg is directly placed into the fallopian tubes. ZIFT is often compared to another fertility treatment named gamete Intrafallopian transfer (GIFT). Research opine that ZIFT may have a higher success rate than GIFT as doctors have better chances of making sure that the egg fertilizes during the ZIFT procedure.
What Is Zygote Intrafallopian Transfer?
Zygote Intrafallopian transfer is an assisted reproductive technology treatment. This process involves fertilization of the eggs with the sperm in the lab. After the fertilization, the egg is laparoscopically placed into one of the fallopian tubes. The fertilized egg then travels through the fallopian tubes to reach the uterus, where it may get implanted, leading to pregnancy. Zygote Intrafallopian Transfer is considered to be a very invasive procedure as it involves laparoscopic surgery, wherein, small incisions are made in the abdomen. Therefore, it may not be a preferred option with childless couples.
Who Is Treated With ZIFT?
Doctors may advise ZIFT, if other means of treatment have failed. A woman with healthy fallopian tubes or even with one open fallopian tube has more chances of conceiving through ZIFT process. Zygote intrafallopian transfer cannot be performed, if there is a significant damage to the tubes, blockage in the tubes or severe uterine impairment. This procedure may be recommended in cases where the sperm count of the man is low the woman has problems with ovulation. ZIFT may most effectively help women who are in their early 30’s or younger. The success rate of the treatment and its possible health risks to the expecting mother may raise with the increasing age of the woman. If the sperm count of the man is really low, ZIFT may be performed in combination with Intracytoplasmic Sperm Injection(ICSI), a process which enhances the fertilization rate by directly inserting the egg with a single sperm.
ZIFT Procedure
The stepwise procedure of how is zift performed is as follows:
Stimulation of The Ovary: Doctors prescribe fertility medications to be taken at the start of the menstrual cycle. This is done so that ovaries get stimulated to release more mature eggs and to prevent them from producing the eggs prematurely.
Development of Follicle: Doctors will then constantly monitor the eggs and the development of follicle though ultrasounds. Blood hormone levels are also regularly checked.
Collecting The Eggs: On maturing, the eggs are collected by inserting a thin needle into the vaginal wall.
Fertilisation: The mature eggs are then combined with the husband’s sperm and fertilized in the lab. After a day or so, the successfully fertilized eggs develop into zygotes (one-celled embryo).
Surgery: The fertilized embryo or zygote is transferred directly to the fallopian tube. This entails a small surgery. The surgery involves making a small incision in the abdomen after administering anaesthesia to the patient. The doctor, by using a laparoscope, then places 1 to 5 zygotes in the fallopian tubes. Any additional zygotes may be frozen for later use.
Implantation: The zygote journeys down the fallopian tube to reach the uterus where it may get implanted and develop into a foetus.
Pregnancy Test: About two weeks after the surgery, the doctor may take a blood test to determine if the procedure has resulted into a successful pregnancy or not.
How Long Does Zygote Intrafallopian Transfer Take?
One procedural cycle of ZIFT, beginning with fertility drugs till the pregnancy test, may take about 4 to 6 weeks. This is because the eggs may take some time to mature. Thereafter, a day is required to collect and fertilize the eggs. Another visit becomes necessary to transfer the fertilized eggs into the fallopian tubes. The surgery is a small one and one may go home the very same day.
Success Rate Of ZIFT
The success rate of ZIFT largely depends on factors like the kind of fertility issue a couple has and also on the health and age of the couple, seeking the procedure. A woman in her early 30’s or even younger may generally produce healthier eggs and therefore, have greater rate of success. Studies have established the success rate of ZIFT process to be between 25% and 40%. This implies that about one in every three ZIFT treatments leads to positive pregnancy results.
Advantages
Certain advantages of ZIFT can be listed as follows:
ZIFT process seems more encouraging as the doctor gets to confirm the fertilization of the eggs before inserting them into the fallopian tubes.
ZIFT involves a more natural procedure as the embryo passes through the fallopian tubes to reach the uterus by itself.
According to new research, there is no possible link between fertility medications and cancer.
Disadvantages
On the other hand, ZIFT has a few disadvantages as well. They are as follows:
ZIFT is an invasive procedure as it involves a small surgery.
ZIFT process may lead to multiple pregnancies or births which can pose greater complications during pregnancy like premature birth, miscarriage or decisions to be made regarding partial abortion, keeping in mind the best interest of the mother’s health.
ZIFT procedure is an expensive treatment as it entails costly fertility medications, surgery, lab tests and ultrasounds.
ZIFT requires the doctor to choose the best embryo from the multiple zygotes which implies discarding the remaining ones. Some couples are not comfortable with this selection process.
Similarities And Differences Between ZIFT And IVF
The similarities between ZIFT and IVF are:
ZIFT and IVF are artificial fertility treatments which may be offered to couples who not able to conceive naturally.
In both the methods, embryo culture is done.
Both the processes, empowers the doctor to choose the best embryos for implantation.
ZIFT procedure is often compared to IVF. The key differences between the two methods are:
In ZIFT, the fertilized egg placed in the fallopian tube from where it journeys to the uterus on its own and in IVF, the fertilized embryo is directly transferred to the uterus.
ZIFT requires a small invasive surgery whereas IVF doesn’t need any surgery.
Cost Of ZIFT
ZIFT procedure is a costlier treatment, when compared to IVF and GIFT. It may prove more expensive, depending on the nature of the fertility problem, the place where the couple resides and whether the insurance policy offers any aid to meet the cost of the treatment. The treatment may cost anything around 1.5 lakhs to 2 lakhs for each cycle of ZIFT.
ZIFT procedure offers childless couples a considerable chance of realising their dream of getting pregnant. It is always advisable to consult your doctor at length for proper guidance and knowledge about each aspect of the treatment before opting for it. Read more
Dr Muhsina has added a new answer
Expecting Mom due in 2 months
4 hours ago
Q. now I am in 30 weeks of pregnancy I have vomiting.I couldn't control what the reasons for this vomiting
Dr Muhsina
Expecting Mom due in 3 months
3 hours ago
A. Some women may have vomiting throughout their pregnancy. The most common reason for vomiting during the third trimester may be gastritis. Make sure you eat small frequent meals, preferably every 2 hours. If your baby's weight during checkups are adequate..u needn't worry much about this. You can also consult your doctor and take anti emetics and PPIs if the vomiting is bothering you or interfering with your daily activities.
Ranjitha has added a new answer
Guardian of 0 children
2 hours ago
Q. Is it okay is the baby does not pass stool for one day?
Ranjitha
Guardian of 2 children
31 mins ago
A. yes absolutely okay.no issues
Dr Vandan H Kumar has added a new answer
Guardian of 0 children
2 hours ago
Q. Is it okay if my baby does not pass stool for one day?
Dr Vandan H Kumar
Paediatrician
1 hour ago
A. no need to worry about the frequency and colour of the stool if the consistency of the stool is semi solid to solid.
also there is no need to worry about the smell of the stool if the consistency is normal.
you have to meet the doctor if it is watery inconsistency or hard consistency otherwise semi solid to solid stool is normal.
also passing stool after taking food is normal. r
Rashmi has added a new answer
Expecting Mom due in 6 months
2 hours ago
Q. Q.Asktheexperta# I m an expecting mother of 29 yrs. LMP 10 Feb 2024 . my husband's HPLC report shows thalassemia minor trait while mine is hb d Punjab trait . can we continue with this pregnancy ??
Rashmi
Mom of a 9 yr 7 m old girl
1 hour ago
A. Well you should check with your gynaecologist for that she has to go through all the reports and the issues that you are facing you and your husband and accordingly she can tell you what is the situation how your child is going because lot of things depend upon how the child is growing
Rashmi has added a new answer
Expecting Mom due in 1 month
59 mins ago
Q. Hi doctor, I had scan on 33 weeks 2 day, it stated that AC and HC Is <2.3% which is corresponding to 31 weeks. So overall growth of baby avg is 31 week and 2 days.
will there be any issue with the baby.I have attached my report
Rashmi
Mom of a 9 yr 7 m old girl
57 mins ago
A. Doesn’t seem like it I think it’s going fine and pleasant -1 or two weeks is completely fine during the time of pregnancy further more whatever doubts you have you can take it up with your gynaecologist is they would be able to give you proper clarity and whatever doubt doubts you have explain it to you in a better
Dr Ghouse has added a new answer
Guardian of 0 children
19 mins ago
Q. I am having pain on my right breast while breastfeeding. Latching position is correct. it is a mix of burning sensation and pain. Pain lasts for few minutes after breastfeeding also
Dr Ghouse
Paediatrician
17 mins ago
A. nipcare ointments ok. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
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