{"id":20270,"date":"2018-01-12T13:11:47","date_gmt":"2018-01-12T12:11:47","guid":{"rendered":"https:\/\/hellocare.com\/?p=20270"},"modified":"2025-12-05T10:10:42","modified_gmt":"2025-12-05T09:10:42","slug":"jumeaux-tout-en-double","status":"publish","type":"post","link":"https:\/\/www.hellocare.com\/blog\/jumeaux-tout-en-double\/","title":{"rendered":"Jumeaux : tout en double ?"},"content":{"rendered":"

Par Martine Desquerre, Sage-femme<\/em><\/p>\n<\/div>

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E<\/span>ntre effusions de joie, angoisse perceptible dans le regard et prostration exprim\u00e9e par l\u2019un des 2 parents ou les 2, s\u2019agissant d\u2019une 1\u00e8re grossesse ou d\u2019une deuxi\u00e8me, l\u2019attente et l\u2019arriv\u00e9e des jumeaux repr\u00e9sentent d\u00e8s leur annonce, \u00e0 envisager tout en double. Mais qu\u2019en est-il vraiment ?<\/span><\/span><\/p>\n<\/div>

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\"jumeaux\"<\/span><\/div>
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Versant grossesse : le double et le plus<\/h2><\/h2><\/div>
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A d\u00e9faut de naus\u00e9es matinales, les naus\u00e9es peuvent \u00eatre journali\u00e8res, la fatigue plus importante et les an\u00e9mies plus fr\u00e9quentes et donc une grossesse o\u00f9 \u201cse faire chouchouter et en profiter\u201d va prendre une large place.<\/span><\/p>\n<\/div>\n<\/div>\n

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Une grossesse g\u00e9mellaire impose un suivi plus sp\u00e9cifique<\/h3>\n

Quand la grossesse est bichoriale (2 placentas et 2 poches amniotique) une consultation par mois d\u00e8s le 5\u00e8me mois (comme pour les grossesses uniques) est suffisante<\/p>\n

Quand la grossesse est monochoriale (les deux b\u00e9b\u00e9s se trouvent dans une ou 2 poches distinctes et partagent le m\u00eame placenta) le suivi est plus important. Il se fait en collaboration avec une structure exp\u00e9riment\u00e9e dans ce type de grossesse et il faut compter une consultation ainsi que deux \u00e9chographies par mois. A partir du 6e mois, la consultation se fait tous les 15 jours.<\/p>\n<\/div>\n<\/div>\n

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Et votre prise de poids, 2 fois plus ?<\/span><\/span><\/h3>\n
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La prise de poids est en moyenne\u00a030% plus importante<\/strong>\u00a0que dans une grossesse unique. Le ventre est donc plus pro\u00e9minent (au sixi\u00e8me mois, l\u2019ut\u00e9rus \u00e0 la taille de celui d\u2019une femme enceinte d\u2019un b\u00e9b\u00e9 \u00e0 terme !) et la poitrine est plus volumineuse. Pas de panique tout de m\u00eame car gr\u00e2ce \u00e0 une alimentation bien \u00e9quilibr\u00e9e d\u00e8s le d\u00e9but de la grossesse, cette prise de poids peut \u00eatre parfaitement r\u00e9gul\u00e9e.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Et le terme de la grossesse, plus t\u00f4t ?<\/span><\/span><\/h3>\n
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Pr\u00e8s de la moiti\u00e9 des jumeaux naissent ainsi pr\u00e9matur\u00e9ment (avant 37 SA). Le terme varie \u00e9galement selon le type de grossesse g\u00e9mellaire.
\nPour une\u00a0grossesse bichoriale<\/strong>\u00a0dans 70% des cas : l\u2019accouchement est g\u00e9n\u00e9ralement programm\u00e9 \u00e0\u00a038 SA<\/strong>
\nPour une\u00a0grossesse monochoriale<\/strong>\u00a0dans 30% des cas, l\u2019accouchement est g\u00e9n\u00e9ralement envisag\u00e9 \u00e0 partir de\u00a036 SA<\/strong>\u00a0sans d\u00e9passer 38. L\u2019accouchement peut se produire plus t\u00f4t si les b\u00e9b\u00e9s partagent la m\u00eame poche.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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> Parlez \u00e0 une sage-femme sans rdv<\/a><\/em><\/p>\n<\/div>

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Versant accouchement : 2 b\u00e9b\u00e9s et 2 fois plus de monde autour de soi !<\/h2>\n

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Le personnel est plus nombreux et s\u2019il y a d\u2019ordinaire une sage-femme et parfois une aide-soignante ou un gyn\u00e9cologue obst\u00e9tricien, l\u00e0 il y aura\u00a02 sages-femmes<\/strong>, une \u00e9l\u00e8ve\u00a0sage-femme<\/strong>, un\u00a0gyn\u00e9cologue obst\u00e9tricien<\/strong>\u00a0parfois assist\u00e9 d\u2019un interne, l\u2019anesth\u00e9siste et selon les circonstances un ou deux p\u00e9diatres. Chacun ayant un r\u00f4le pr\u00e9cis \u00e0 jouer d\u00e8s la naissance des enfants.
\nLa naissance du premier b\u00e9b\u00e9 est similaire \u00e0 celle d\u2019un enfant unique. Le deuxi\u00e8me se pr\u00e9sente tr\u00e8s rapidement apr\u00e8s la naissance du 1er b\u00e9b\u00e9.<\/p>\n

L\u2019accouchement aura lieu au sein d\u2019une\u00a0maternit\u00e9 de type III<\/strong>, c\u2019est-\u00e0-dire avec une unit\u00e9 de r\u00e9animation n\u00e9onatale. L\u2019essentiel est d\u2019\u00eatre bien entour\u00e9e afin que la prise en charge soit optimale pour maman et b\u00e9b\u00e9s. \u00c0 pr\u00e9ciser que les c\u00e9sariennes sont plus fr\u00e9quentes et qu\u2019il est parfois n\u00e9cessaire, si l\u2019accouchement se produit par voie basse, d\u2019aider le 2\u00e8me b\u00e9b\u00e9 \u00e0 na\u00eetre (forceps). Les\u00a0c\u00e9sariennes<\/strong>\u00a0sont plus nombreuses (40% contre 20% dans les grossesses uniques).<\/p>\n<\/div>\n<\/div>\n<\/div>

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Se pr\u00e9parer \u00e0 les accueillir\u00a0<\/span><\/span><\/h3>\n

en \u00e9vitant de s\u2019encombrer de trop de mat\u00e9riel et de v\u00eatements.\u00a0Nul n\u00e9cessaire d\u2019acheter tout en double<\/strong>, mais peut \u00eatre plus (les v\u00eatements se partagent). 2 baignoires, 2 tables \u00e0 langer, 2 chaises hautes ne sont pas n\u00e9cessaires car les besoins des b\u00e9b\u00e9s ne sont pas les m\u00eames au m\u00eame instant.<\/p>\n<\/div>\n<\/div>\n<\/div>

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S\u2019organiser avec l’entourage\u00a0<\/span><\/span><\/h3>\n
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A<\/i>fin d\u2019avoir plus d\u2019espace et de confort et anticiper l\u2019aide apport\u00e9 par les proches, la famille\u00a0sur les aides m\u00e9nag\u00e8res, administratives ou pratique. La\u00a0fatigue<\/strong>\u00a0est omnipr\u00e9sente, le quotidien \u00e9tant compliqu\u00e9 car n\u00e9cessitant le double de tout\u00a0! le double de pleurs, le double de change, le double de t\u00e9t\u00e9es, le double de berceuses\u00a0 <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>

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Les conseils de la sage-femme<\/h2><\/h2><\/div>
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Une alimentation \u00e9quilibr\u00e9e et vari\u00e9e\u00a0<\/span><\/span><\/h3>\n
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Il est encore plus important d\u2019adopter une\u00a0alimentation \u00e9quilibr\u00e9e et vari\u00e9e<\/strong>\u00a0d\u00e8s le d\u00e9but de la grossesse. Le m\u00e9decin qui suit la grossesse est \u00e0 m\u00eame de vous donner tous les conseils nutritionnels permettant d\u2019\u00e9viter les carences et de garder la forme !<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>

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Le repos est primordial\u00a0<\/span><\/span><\/h3>\n
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Du fait du risque d\u2019accouchement pr\u00e9matur\u00e9, un arr\u00eat de travail est g\u00e9n\u00e9ralement prescrit d\u00e8s le 5\u00e8me mois, l\u2019importance du repos ne devant pas \u00eatre n\u00e9glig\u00e9e, en s\u2019accordant des p\u00e9riodes de pauses au fur et \u00e0 mesure que la grossesse avance A savoir : Selon la S\u00e9curit\u00e9 sociale, la dur\u00e9e du\u00a0cong\u00e9 maternit\u00e9<\/strong>\u00a0en cas de grossesse g\u00e9mellaire est de\u00a034 semaines<\/strong>\u00a0dont, en principe, un cong\u00e9 pr\u00e9natal de 12 semaines avant la date pr\u00e9sum\u00e9e de l\u2019accouchement et un cong\u00e9 postnatal de 22 semaines apr\u00e8s l\u2019accouchement<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>

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N’oubliez pas que c’est aussi le double de bonheur\u00a0 !<\/span><\/span><\/h3>\n
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Des jumeaux c\u2019est aussi le\u00a0double de sourires<\/strong>\u00a0\u00e0 recevoir, le partage de jeux et d\u2019activit\u00e9s communes \u00e0 partager entre eux et \u00e0 2 et lorsqu\u2019ils sont laiss\u00e9s en garde, quelque chose de plus facile \u00e0 supporter pour les parents. Et si les jumeaux fascinent et attirent sympathie et curiosit\u00e9, sachez n\u2019en retenir que les compliments <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>

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\"consulter<\/a><\/span><\/div>
<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"

ntre effusions de joie, angoisse perceptible dans le regard et prostration exprim\u00e9e par l\u2019un des 2 parents ou<\/p>\n","protected":false},"author":28,"featured_media":24123,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[575],"tags":[],"class_list":["post-20270","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante-generale-medecine"],"acf":[],"yoast_head":"\nJumeaux : tout en double ?<\/title>\n<meta name=\"description\" content=\"L\u2019attente et l\u2019arriv\u00e9e des jumeaux invite \u00e0 envisager tout en double. Mais qu\u2019en est-il vraiment ? 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