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When the ovaries do not release an egg during a menstrual cycle.

  • The menstrual cycle is the monthly series of changes a woman’s body goes through in preparation for the possibility of pregnancy.
  • Normal cycle length is every 21 to 35 days and lasting for 2-7 days

Causes of Irregular Menstrual Cycle (Irregular Periods):

  • Pregnancy
  • Breast feeding
  • Eating disorder
  • Excessive weight gain or weight loss
  • PCOS
  • Excess physical or mental stress.

Multiple Pregancy

  • It is a condition where the woman is carrying more than one baby in the womb. It may be twins, triplets or more.
  • It is a very common condition associated with Assisted Reproductive Treatment.


  • Dizygotic or Non identical Twins:
  • Results from the fertilization of two ova.
  • Monozygotic or identical twins:
  • Results from the fertilization of single ova.


  • Excessive nausea and vomiting
  • Increased risk of pregnancy induced hypertension
  • Increased risk of gestational diabetes
  • Increased fluid levels (hydramnios)
  • Pre-term labour
  • Post-partum haemorrhage

Pre Natal Care Plan:

  • Increased nutrition
  • Increased rest
  • More frequent pre natal visits
  • Monthly ultrasounds
  • Tocolytic Medicines to prevent early labour.
  • Steroid Injections to accelerate lung maturity.