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	<id>https://hcdwiki.tattvagavi.org/index.php?action=history&amp;feed=atom&amp;title=Twins_or_More</id>
	<title>Twins or More - Revision history</title>
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	<updated>2026-05-03T07:07:50Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
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	<entry>
		<id>https://hcdwiki.tattvagavi.org/index.php?title=Twins_or_More&amp;diff=55&amp;oldid=prev</id>
		<title>Adminsuper: Created page with &quot;{{Severity Banner | level    = yellow | card_no  = 16 | title    = Twins or More | subtitle = Multiple babies mean extra check-ups and hospital delivery is essential }}  {{Card Infobox | card_no  = 16 | severity = yellow | category = Pre-existing | audio    = Twins_or_More_Khasi.mp3 | call_108 = no | pathway  = ASHA → CHC / District Hospital (register early) → monthly ANC → deliver at hospital | image    = Card_16_Twins_or_More.png }}  == What is this? ==  When two...&quot;</title>
		<link rel="alternate" type="text/html" href="https://hcdwiki.tattvagavi.org/index.php?title=Twins_or_More&amp;diff=55&amp;oldid=prev"/>
		<updated>2026-05-02T11:27:16Z</updated>

		<summary type="html">&lt;p&gt;Created page with &amp;quot;{{Severity Banner | level    = yellow | card_no  = 16 | title    = Twins or More | subtitle = Multiple babies mean extra check-ups and hospital delivery is essential }}  {{Card Infobox | card_no  = 16 | severity = yellow | category = Pre-existing | audio    = Twins_or_More_Khasi.mp3 | call_108 = no | pathway  = ASHA → CHC / District Hospital (register early) → monthly ANC → deliver at hospital | image    = Card_16_Twins_or_More.png }}  == What is this? ==  When two...&amp;quot;&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;{{Severity Banner&lt;br /&gt;
| level    = yellow&lt;br /&gt;
| card_no  = 16&lt;br /&gt;
| title    = Twins or More&lt;br /&gt;
| subtitle = Multiple babies mean extra check-ups and hospital delivery is essential&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{Card Infobox&lt;br /&gt;
| card_no  = 16&lt;br /&gt;
| severity = yellow&lt;br /&gt;
| category = Pre-existing&lt;br /&gt;
| audio    = Twins_or_More_Khasi.mp3&lt;br /&gt;
| call_108 = no&lt;br /&gt;
| pathway  = ASHA → CHC / District Hospital (register early) → monthly ANC → deliver at hospital&lt;br /&gt;
| image    = Card_16_Twins_or_More.png&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
== What is this? ==&lt;br /&gt;
&lt;br /&gt;
When two or more babies are growing in the womb, the mother&amp;#039;s body carries far more weight and works much harder than in a single pregnancy. She is more likely to feel very tired, short of breath, and uncomfortable. The babies may grow more slowly and are more likely to be born early — before they are fully ready.&lt;br /&gt;
&lt;br /&gt;
Twins and triplets almost always need a hospital delivery — often a Caesarean section. Complications during labour and delivery are much more common with multiple pregnancies, and a surgical team must be ready. Register at the CHC or District Hospital as soon as twins are confirmed, and attend a check-up every month without missing any.&lt;br /&gt;
&lt;br /&gt;
{{Action Steps|&lt;br /&gt;
* Register at the CHC or District Hospital immediately after twins are confirmed&lt;br /&gt;
* Attend a full check-up every month — do not miss any&lt;br /&gt;
* Prepare money and transport for the hospital from now&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;Deliver only at the CHC or District Hospital — never at home&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{Referral Pathway&lt;br /&gt;
| step1 = ASHA&lt;br /&gt;
| step2 = CHC / District Hospital (register early)&lt;br /&gt;
| step3 = Monthly ANC&lt;br /&gt;
| step4 = Deliver at hospital only&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
{{Risk Window|&lt;br /&gt;
The risk in a twin or multiple pregnancy runs throughout the entire pregnancy — not just at delivery. High blood pressure, severe anaemia, and early labour are all much more common. &amp;#039;&amp;#039;&amp;#039;Hospital delivery is essential — a home delivery with twins carries a very high risk of death for both mother and babies.&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
== Khasi audio guide ==&lt;br /&gt;
&lt;br /&gt;
{{Audio Guide|file=Twins_or_More_Khasi.mp3|duration=2:00}}&lt;br /&gt;
&lt;br /&gt;
== Related cards ==&lt;br /&gt;
&lt;br /&gt;
* [[Blood_Pressure_High|Blood Pressure High]] — much more common in twin pregnancies&lt;br /&gt;
* [[Pale_Eyelid_and_Nails|Pale Eyelid and Nails]] — anaemia is very common when carrying twins&lt;br /&gt;
* [[Previous_C-Section|Previous C-Section]] — another reason hospital delivery must be planned early&lt;br /&gt;
&lt;br /&gt;
{{Emergency Footer}}&lt;br /&gt;
&lt;br /&gt;
[[Category:Symptom Cards]]&lt;br /&gt;
[[Category:Yellow Alert]]&lt;br /&gt;
[[Category:Pre-existing]]&lt;/div&gt;</summary>
		<author><name>Adminsuper</name></author>
	</entry>
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