Guest guest Posted October 3, 2009 Report Share Posted October 3, 2009 Note that in this article this is described as an extremely rare event - not the norm , so it shouldn't be used to apply to the general population. There are many things that happen rarely in nature that are not the norm, and are not considered the basis for making decisions about how to treat the general population. In the normal case in the general population, women cannot get pregnant at just any time of the month, or undergo multiple ovulations at very different times in the cycle. That is why this event was so newsworthy - it is a "freak of nature". However, as you know, some people will do almost anything to discredit a natural method, even resort to using something like this to say that NFP can't work for anyone... Pam in El Paso Two ovulations http://www.dailymail.co.uk/news/worldnews/article-1216101/Superfetation-Woman-falls-pregnant-pregnant-babies-arent-twins.htmlI'm sorry if this has been addressed on this list already, but I was promoting NFP at a midwifery workshop last month and this news came down while I was there - the participants were very much inclined to dismiss NFP on the grounds that "a woman can get pregnant any time of the month" and this news seemed to many to confirm them in their view. Has anyone looked more deeply into this situation?Thanks.Pam PilchCatholic Nursing Mothers League Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 3, 2009 Report Share Posted October 3, 2009 During my residency I attended a labor patient who was in labor with the term pregnancy in the left horn of her double uterus, and delivered, while the second baby,  32 weeks along stayed peacefully in the right horn and was born at term about 6 weeks later. The case was reported in the gray Journal around 1955. The mother’s concern was that one child would start school in September, but the other would not be eligible until the January semester, as one was born early December the other in late January. The explanation offered was the due to the high level of HCG there may be ovulations during pregnancy, but ordinarily of course the gestational sac closes the cervix. In this case,  the other cervix was open, and another baby got started. Hanna Klaus, M.D. Natural Family Planning Center of Washington, D.C. and Teen STAR Program 8514 Bradmoor Drive Bethesda, MD 20817-3810 hannaklaus@... http://www.teenstarprogram.org  From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of Pam Sent: Saturday, October 03, 2009 1:53 PM To: nfpprofessionals Subject: Re: Two ovulations Note that in this article this is described as an extremely rare event - not the norm , so it shouldn't be used to apply to the general population. There are many things that happen rarely in nature that are not the norm, and are not considered the basis for making decisions about how to treat the general population. In the normal case in the general population, women cannot get pregnant at just any time of the month, or undergo multiple ovulations at very different times in the cycle. That is why this event was so newsworthy - it is a " freak of nature " . However, as you know, some people will do almost anything to discredit a natural method, even resort to using something like this to say that NFP can't work for anyone... Pam in El Paso Two ovulations http://www.dailymail.co.uk/news/worldnews/article-1216101/Superfetation-Woman-falls-pregnant-pregnant-babies-arent-twins.html I'm sorry if this has been addressed on this list already, but I was promoting NFP at a midwifery workshop last month and this news came down while I was there - the participants were very much inclined to dismiss NFP on the grounds that " a woman can get pregnant any time of the month " and this news seemed to many to confirm them in their view. Has anyone looked more deeply into this situation? Thanks. Pam Pilch Catholic Nursing Mothers League Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 2009 Report Share Posted October 4, 2009 Couldn't this just be that fraternal twins were conceived and gestated in the opposite horns and delivered at separate times and not conceived at separate times? It would seem that any possibility of ovulating during pregnancy at any time would dramatically affect what we teach in NFP. Everything I have read is that if more than one ovulation were to occur, it would be within 24 hrs. Once the HCG levels and progesterone levels and estrogen levels go up in pregnancy, doesn't that suppress FSH and LH and prevent any further potential for ovulation? Les Ruppersberger, D.O. FACOOG Two ovulations http://www.dailymail.co.uk/news/worldnews/article-1216101/Superfetation-Woman-falls-pregnant-pregnant-babies-arent-twins.htmlI'm sorry if this has been addressed on this list already, but I was promoting NFP at a midwifery workshop last month and this news came down while I was there - the participants were very much inclined to dismiss NFP on the grounds that "a woman can get pregnant any time of the month" and this news seemed to many to confirm them in their view. Has anyone looked more deeply into this situation?Thanks.Pam PilchCatholic Nursing Mothers League Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2009 Report Share Posted October 5, 2009 Les, The occurrence of an ovulation is pertinent to the single significant LH surge. But there is much cross reaction between HCG and LH , and the fact is, the pregnancy I described delivered two term babies more than six weeks apart.  Their attendings- Ralph  Woolf and Willard , the co-discoverer of progesterone, were well aware of the hormones involved , and the unusual situation described. Hanna Klaus, M.D. F.A.C.O.G. From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of lruppersberger@... Sent: Sunday, October 04, 2009 6:15 PM To: nfpprofessionals Subject: Re: Two ovulations Couldn't this just be that fraternal twins were conceived and gestated in the opposite horns and delivered at separate times and not conceived at separate times? It would seem that any possibility of ovulating during pregnancy at any time would dramatically affect what we teach in NFP. Everything I have read is that if more than one ovulation were to occur, it would be within 24 hrs. Once the HCG levels and progesterone levels and estrogen levels go up in pregnancy, doesn't that suppress FSH and LH and prevent any further potential for ovulation? Les Ruppersberger, D.O. FACOOG Two ovulations http://www.dailymail.co.uk/news/worldnews/article-1216101/Superfetation-Woman-falls-pregnant-pregnant-babies-arent-twins.html I'm sorry if this has been addressed on this list already, but I was promoting NFP at a midwifery workshop last month and this news came down while I was there - the participants were very much inclined to dismiss NFP on the grounds that " a woman can get pregnant any time of the month " and this news seemed to many to confirm them in their view. Has anyone looked more deeply into this situation? Thanks. Pam Pilch Catholic Nursing Mothers League Quote Link to comment Share on other sites More sharing options...
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