YT YouTube2Text

YouTube2Text → Transcripts → สำเร็จครั้งแรกของไทย ทำคลอดทารกแฝดแท้ 4 คน จากไข่ใบเดียวและใช้รกร่วมกัน

สำเร็จครั้งแรกของไทย ทำคลอดทารกแฝดแท้ 4 คน จากไข่ใบเดียวและใช้รกร่วมกัน — Transcript

by MCOT News FM 100.5 · 4,224 words · 737 segments · language en · Watch on YouTube

Open in transcriber Summarize with AI Download SRT/VTT

Full transcript

0:01We will be speaking with the doctor
0:03about how they reacted and what
0:04decisions were made the moment they
0:06discovered it was quadruplets. Let's
0:09have the doctor explain. The doctor is
0:12here now. Hello, Doctor.
0:14>> Hello.
0:15>> Yes, hello.
0:16>> I truly admire you and want to
0:18congratulate you. It’s absolutely
0:20amazing.
0:23>> Let's start from when you first found
0:25out it was twins—or rather,
0:26quadruplets—at how many months? How
0:31did they come to see you, Doctor?
0:37>> Well, the patient had been receiving
0:39prenatal care at Mae Sariang Hospital
0:41in Mae Hong Son province.
0:46>> I see.
0:47>> The patient had been attending prenatal
0:48checkups since she was about three
0:50months pregnant.
0:51>> And the doctor at Mae Sariang Hospital
0:53......
0:54>> examined her and discovered it was a
0:56multiple pregnancy.
0:56>> So, at three months, it was already
0:58visible, right? Yes, it was visible.
1:02>> If I may ask, normally, how soon do you
1:04find out if it's twins or a multiple
1:06pregnancy in a natural conception?
1:11>> Nowadays, with an ultrasound, you can
1:13find out quite early, around two months
1:15.
1:16>> I see.
1:17>> So, what happened after that?
1:18>> What happened next, Doctor?
1:20>> Yes. After that, the doctor at Mae
1:22Sariang took care of the patient as
1:24usual. She continued her prenatal care.
1:28Since the patient had travel
1:29difficulties and couldn't reach a major
1:31hospital......she was cared for there
1:33until she was about six months pregnant
1:35. Around 23 weeks. That was when she
1:40was referred to see the doctors at
1:41Maharaj Hospital.
1:43>> I see.
1:47>> Regarding quadruplets, when you find
1:49out it's four, does this happen often?
1:54I’ve heard that in the past, some
1:56cases weren't natural conceptions. And
2:00the doctors would say you have to
2:01reduce it to two or something like that
2:03. How do you explain that, or what is
2:06the procedure?
2:08>> Well, if you find out it's quadruplets,
2:10there are many more complications......
2:12>> compared to triplets or twins, and
2:14certainly more than a single pregnancy.
2:18>> Therefore, if it's discovered in the
2:20early stages, we have to consider many
2:22factors, including the mother's
2:23readiness and health, to see if she is
2:25capable of carrying four babies.
2:30>> Sometimes, we might have to reduce the
2:32number of fetuses to, say, two, for
2:34example.
2:36>> Yes.
2:39>> However, in this case, the mother was a
2:41healthy person with no underlying
2:43conditions, and when we examined all
2:45four babies, they were all healthy, so
2:47we planned to continue the pregnancy.
2:52>> Wait, Doctor, the mother is 33, which
2:54isn't exactly young, is it? Well,
2:57nowadays it's not considered that old,
2:59but in the past, being over 30 was
3:01considered a lot by standard.
3:03>> Yes.
3:04>> Oh.
3:06>> Hmm, and Doctor, once you reached 6
3:08months...
3:10>> Did they deliver on time?
3:14>> Well, it was within the standards for a
3:16quadruple pregnancy; the gestational
3:18age is usually around that much,
3:20averaging about 30 weeks.
3:22>> Yes.
3:23>> How many weeks is normal? I'm sorry,
3:25I've never given birth.
3:28>> For a single pregnancy, it's 40 weeks.
3:31>> 40, hmm.
3:33>> Full term is from 37 weeks up to 40
3:35weeks, or even a week or two beyond
3:37that is fine.
3:39>> But if it's twins, it gets shorter.
3:42>> Twins average about 36 to 38 weeks.
3:45>> If it's triplets, it gets even shorter,
3:48about 33 to 35 weeks.
3:50>> And quadruplets are 30 weeks.
3:52>> Were you worried, Doctor? When you
3:54first saw the case, were you worried?
3:56Yes, I was, because we knew for sure
3:58that a premature birth was inevitable.
4:00Was it her first pregnancy, Doctor?
4:03>> The mother already had one child, a boy
4:05who was over a year old when she became
4:07pregnant.
4:09>> Oh.
4:11>> During the period of managing the
4:13pregnancy until delivery, was it
4:14difficult or nerve-wracking, Doctor?
4:21>> We at Maharaj Hospital planned for the
4:23mother to be admitted to the hospital
4:25when she was about 7 or 8 months along.
4:30>> 7 months, that's about 27 weeks, to...
4:33>> Prevent an emergency premature delivery
4:35, since the mother's home was very far
4:37away.
4:38>> It would take about 4 to 5 hours to
4:40reach our hospital.
4:41>> Therefore, we had her admitted to the
4:42hospital starting at about 27 weeks of
4:44gestation.
4:45>> So, she just stayed in bed?
4:46>> She stayed in bed, received medication
4:48to help the babies 'lungs develop, and
4:49we monitored her condition.
4:50>> Yes.
4:51>> This was so that if any problems arose,
4:53we would have already practiced with
4:55our team, like a drill.
4:56>> If any issues arose, like premature
4:58labor, we would prepare an emergency
5:00surgical team; she was hospitalized for
5:02two weeks.
5:04>> Oh, I see, was it a natural birth or
5:06what happened?
5:08>> It was a C-section because the four
5:10babies were mostly not in the
5:11head-first position ready for a vaginal
5:13delivery.
5:14>> I see.
5:15>> I see.
5:16>> It was an emergency C-section.
5:18>> Oh, so it was an emergency too? Because
5:20...because...
5:21>> Yes, it was around 2:00 AM, I think,
5:23maybe 4:00 AM or 5:00 AM, by the time
5:26we...
5:27>> got everything ready.
5:28>> Hmm.
5:29>> How many medical staff members were
5:30involved?
5:31>> Uh, in total, it was probably around 20
5:33to 30 people, I’d say.
5:35>> Hmm, does that include the case study
5:37team?
5:38>> It’s not, it’s not easy.
5:41>> We had many teams, including the
5:43anesthesiologists to prepare the mother
5:45for surgery.
5:49>> Then there was the nursing team
5:51handling the surgical instruments, the
5:53OB-GYN team performing the surgery, and
5:55the neonatal team.
5:57>> Since there were four babies, we had to
5:58multiply everything by four, which is
6:00why it was a large group.
6:01>> We had to prepare for each baby
6:03individually because they might have
6:05had breathing difficulties upon
6:07delivery, so we had to be ready. Hmm.
6:09>> Doctor, did we plan from the start that
6:11in this case, the mother would
6:12definitely need a C-section and
6:14shouldn't attempt a natural birth? Can
6:16we plan like that?
6:17>> Yes, that’s usually the case.
6:19>> Almost 100%of these cases are difficult
6:21to deliver naturally.
6:23>> It’s hard, right? Given the positions
6:26, Doctor, could you describe what you
6:27remember from that day? We rarely get
6:32to see the atmosphere in the middle of
6:34the night, could you give us a rough
6:35idea of what happened?
6:38>> Well, I happened to be the doctor on
6:40call that night. But we had already
6:42practiced the plan, and the doctors
6:44would brief each other. Every shift, we
6:46have drills and handovers. So, if
6:48something happens, we know exactly how
6:50to proceed step-by-step. Like preparing
6:52the team and calling people in from
6:54home.
6:54>> So, when a situation like this arose
6:56and the mother started having labor
6:58pains...
6:59>> We performed an internal exam, the
7:01cervix was dilated, but since we could
7:03wait a bit, we started preparing the
7:04team.
7:05>> We called the team by phone.
7:07>> Specialist nurses from home.
7:09>> In the middle of the night? Yes, around
7:122:00 or 3:00 AM.
7:13>> I see.
7:14>> But that’s just standard procedure
7:15for us OB-GYNs, we...
7:16>> Oh.
7:17>> But there are so many, it really had to
7:19be a full-scale mobilization.
7:21>> I heard that when the babies came out
7:22...
7:22>> Because...
7:24>> Since it's quadruplets, they were all
7:26quite small.
7:28>> The smallest one was 800 grams, right?
7:30>> Yes, that’s correct, 800 grams.
7:34>> What do we do once they are out? Just
7:36imagining it, they are all under a
7:38kilogram.
7:39>> I mean, how? Wow, even holding a normal
7:42newborn is difficult. Here, you have to
7:46divide the weight by four, so they
7:48total about 3 kilograms, right? How do
7:52you do it, doctor? The handling, the
7:55holding...
7:57>> Well, we have to be very gentle.
7:59Usually, when we perform a C-section
8:01for very small babies...
8:03>> We gently ease or support the babies as
8:05they come out.
8:08>> The equipment is much smaller than
8:10usual, which our Maharaj team of
8:11neonatologists are experts in. We
8:14prepare instruments such as...
8:17>> Breathing tubes, for example.
8:19>> Oh.
8:20>> Or we have nurses who are specialized
8:22in drawing blood from infants, because
8:24their veins are extremely tiny.
8:26>> Right, I have to picture this. Let me
8:28ask—this might be a question others
8:30wouldn't think of, but I'm quite
8:32curious. When babies are born like this
8:35, is the first one out considered the
8:37oldest sibling?
8:38>> But in this case, when delivering, I
8:40don't know if you pick the biggest one
8:41first or the smallest one—the one
8:43that was only 800 grams, right? I don't
8:45know how you choose or determine the
8:47order of the siblings.
8:49>> Well, during surgery, we take whoever
8:51is closest to the incision. Let's put
8:54it that way. Once we cut and reach in
8:56...
8:57>> Whoever we encounter first.
8:59>> The first one we found turned out to be
9:01the one we call' A ', the eldest.
9:03>> Hmm.
9:05>> Boy is certainly curious.
9:06>> We learn as we go, we learn as we go.
9:09Many people know about this because it
9:10made the news.
9:12>> It was in the news, but we want the
9:14people who were actually there to tell
9:15the story.
9:17>> But the babies all have names now,
9:19doctor—Idea, Ida...did you have any
9:21part in naming them, doctor?
9:24>> Oh, not at all, that was entirely the
9:26parents.
9:27>> And once all four are out, do they
9:29normally have to go into an incubator
9:31or something similar, doctor?
9:34>> Yes, they must be in an incubator. We
9:36call it a NICU, which is a specialized
9:38ICU for newborns. We have to use
9:40special beds.
9:41>> Hmm.
9:42>> Yes, how special is this? Have we seen
9:45cases like this in Thailand before? I
9:48heard there was one in Ubon, right?
9:51>> Yes, but mostly—for quadruplets or
9:53triplets and up—those are usually
9:55pregnancies that didn't happen
9:57naturally. What’s special about our
10:01current case is that it was a natural
10:03conception.
10:05>> It's natural, and was there a history
10:07of twins in the family? Any history of
10:09twins from the parents? And it's a
10:11pregnancy that shares a single placenta
10:13, too.
10:15>> Yes, it's very rarely seen.
10:17>> I see.
10:18>> It's found abroad.
10:19>> By "single placenta," does that mean
10:21nutrients from the mother pass through
10:23a single channel to all four babies,
10:25right?
10:25>> Yes, that's correct.
10:27>> Oh.
10:29>> Doctor, how long does it take until we
10:31are confident that after they are born,
10:33we can say they will make it?
10:38>> Uh.
10:38>> All of them, speaking plainly as a
10:40layperson.
10:41>> Well, actually, you'd have to ask a
10:43neonatologist how confident they are.
10:47But usually, as an OB-GYN, I can say
10:49the most critical period is likely the
10:52first 24 to 48 hours.
10:54>> After that, we can gradually worry less
10:56, but during the period where we need
10:58to wait for them to grow, like the
11:00first week, there is still some risk.
11:03>> But after that, once everything settles
11:05, complications will gradually decrease
11:07. However, we still can't be completely
11:11at ease until they weigh at least 2
11:13kilograms, for example.
11:15>> I see.
11:16>> Doctor, let me ask: when the father was
11:19told there were quadruplets and saw
11:21their faces, you were there in that
11:23atmosphere—what was it like? The
11:26mother and father must have been happy,
11:28but how surprised was the father?
11:30>> The mother was more shocked than anyone
11:32! She said she was shocked by three,
11:33but then it became four.
11:35>> The father was shocked.
11:37>> Because he said that means he has five
11:38children now. What do you think, Doctor
11:40? Please, go ahead.
11:42>> I didn't encounter them myself from the
11:44start, but I met them when they came
11:46for prenatal care at 23 weeks, and the
11:48father was happy.
11:51>> And the family, their family is ready
11:53to raise them and takes very good care
11:55of them, too.
11:56>> They are from an ethnic tribe, right?
11:58Yes.
11:58>> Yes, that's right.
11:59>> Oh.
12:03>> The mother did say at first she was
12:05shocked thinking it was three, but when
12:07she found out it was actually four—
12:09did they have a history of twins in
12:10their bloodline, Doctor, on either the
12:12father's or mother's side?
12:17>> I believe the grandmother did, the
12:19mother's side of the grandmother.
12:21>> There were twins.
12:23>> Oh, just two, right?
12:24>> Well, having four siblings at once is
12:26rare, isn't it? Four!
12:30>> Doctor, what advice do you have for
12:32people with a family history of twins,
12:34or anyone who finds out they're
12:35pregnant—what should we check for
12:37safety? This case is really lucky that
12:42everyone survived, honestly.
12:44>> Yes, that's right.
12:46>> Mm.
12:46>> I recommend getting prenatal care as
12:48early as possible. Once you miss your
12:51period and test positive, you should
12:52come see a doctor right away, even if
12:54you're not sure what you'll see.
12:57>> Whether we can see the babies or not,
12:59the doctor will have methods to monitor
13:01the pregnancy from an early stage.
13:04>> Just testing positive with two lines—
13:06and this isn't for COVID, listeners—
13:08once you get those two lines, you
13:10should go see a doctor, right?
13:12>> Yes, exactly.
13:13>> Mm.
13:14>> Doctor, for identical twins like this,
13:16will they all look the same? As they
13:18grow up, will they be indistinguishable
13:20?
13:20>> They will be the same, mostly identical
13:22, though there might be tiny little
13:24details that make them look a bit
13:25different.
13:26>> When you see them, are they really that
13:28similar? At first glance, even if their
13:30weights are different, do you ever
13:31think, "Wow, the four of them look so
13:33much alike"? Do you get that feeling?
13:35>> Yes, even the doctor sometimes can't
13:36tell them apart.
13:39>> So, you really can't distinguish them?
13:41And how about the mother? Can she tell
13:43them apart?
13:44>> Oh, the mother can tell them apart? Are
13:46there any small details, Doctor?
13:48Besides their weight, do you see any
13:50other differences?
13:51>> There are some small details, like some
13:53of them might have a skin tag on the
13:55ear or a little mark on the nose, tiny
13:56things like that.
13:58>> And observation points when...
13:59>> Sometimes those appear later, so they
14:01might not have been there from the
14:02beginning.
14:03>> Because we never know, Doctor—and
14:05listeners—that in about 15 years, we
14:07might be reporting on these four
14:09quadruplets in the future, maybe
14:11sharing some great news about them,
14:13right?
14:14>> Yes, and the babies are very adorable.
14:17>> Are they considered safe now, since
14:19they’ve passed the vulnerable stage,
14:20right?
14:24>> Yes, they are safe, but we still need
14:26to keep monitoring them because
14:27complications can still arise, though
14:29they have decreased significantly.
14:34>> What kind of complications could happen
14:36? I'm asking for information, not just
14:40for the quads, but even for twins;
14:42those born very prematurely might have
14:44issues like vision problems, for
14:46example.
14:49>> Just as an example.
14:51>> Or hearing and other developmental
14:53aspects that we wouldn't know at birth,
14:54right?
14:56>> Yes.
14:56>> Hmm.
14:57>> But among these, is there anyone
14:58you’re worried about, Doctor? If we
15:00talk about this point, is there any
15:01baby you’re concerned about in this
15:03set?
15:03>> None at all. They are very strong. Oh,
15:05they’re incredibly strong.
15:08>> Is it because, during the pregnancy,
15:10did the mother share how she handled it
15:12? Did she have to walk a lot or do a
15:17lot of things, or how did she take care
15:19of herself?
15:22>> Well, from what I know, the mother...
15:29...she took good care of herself, and
15:31her family took good care of her, but
15:32she wasn't just staying still because
15:34staying still too much would make her
15:36stressed.
15:39>> Stress can lead to various
15:40complications, so she went about her
15:42life normally and also had to take care
15:44of her older child.
15:45>> Yes, yes, the older one is over two
15:47years old, right?
15:48>> About two years old, yes. She was able
15:50to do housework as usual. The mother is
15:52truly very strong.
15:53>> Very strong. If she weren't strong,
15:54they probably wouldn't have all
15:55survived, right, Doctor?
15:56>> Not at all. If she hadn't been strong,
15:58she wouldn't have been able to handle
15:59it.
15:59>> Hmm.
16:00>> Yes.
16:02>> But I ask this because a fellow
16:04reporter gave birth prematurely, and
16:05her child......
16:11>> the child had so many other conditions
16:12and had to stay in the hospital for a
16:14year. It was like...
16:17>> Yes, some cases...
16:18>> But this case is truly miraculous; I
16:20really have to use that word, Doctor.
16:23If compared to other cases, could you
16:25compare them for us?
16:27>> Well, for babies born prematurely......
16:31>> a portion of them will have
16:32complications, which is something we
16:33must inform the mother about from the
16:35start.
16:36>> Actually, from the time of prenatal
16:37care or during the pregnancy, that
16:39there is a possibility of 1, 2, 3, 4, 5
16:41happening like this.
16:43>> Or it might not happen, but if the baby
16:45is born very prematurely, the chances
16:47are higher than a baby born closer to
16:49full term.
16:50>> Hmm.
16:51>> Uh-huh.
16:52>> And there could be the mother's
16:53underlying health conditions, and
16:55various other complications that, well
16:57...
16:58>> We wouldn't know about, right?
17:00>> Oh.
17:02>> Have there ever been cases like this
17:04with four? I don't mean whether they
17:07survived or not, but have there been
17:08cases with four? It does happen from
17:11time to time, yes, from time to time.
17:13>> But in the past, they didn't all
17:15survive, right? I have to put it that
17:17way.
17:17>> Yes, sometimes during the early stages
17:19of pregnancy, some miscarry, meaning
17:21one or two might pass away along the
17:23way, it just depends.
17:24>> Gradually...
17:25>> Oh, Doctor, do you mean that when a
17:26miscarriage happens, it's not always
17:28the whole thing? Can it be a partial
17:29miscarriage?
17:30>> Some do pass away along the way, yes,
17:32that happens.
17:33>> Oh.
17:33>> No, but in that case, what do we do,
17:36Doctor? How do we remove them when
17:38others are still there?
17:40>> Right.
17:40>> Well, we just leave the baby in the
17:42womb. Actually, in medicine, this
17:44happens quite often.
17:46>> Oh, really?
17:47>> Yes, and when the baby is born, the
17:49other one will come out, uh...
17:51>> Not breathing.
17:54>> It just stops growing on its own, it
17:56will get smaller and smaller until it's
17:58just a small, flat remnant left in the
18:00womb.
18:01>> Oh, I see. The reason I ask is because
18:05...
18:06>> There are cases like this, yes. Because
18:09usually, when someone miscarries, the
18:11doctor has to remove everything, like a
18:13D&C. Some miscarriages involve the
18:16whole pregnancy, but partial ones do
18:18happen.
18:19>> Right.
18:20>> Twins happen too; twins are quite
18:21common.
18:22>> Oh, really?
18:23>> Sometimes one baby passes away, and we
18:25have one left in the womb, and we can
18:28support the pregnancy to continue until
18:30full term. That's possible in most
18:33cases.
18:33>> But you have to see the doctor because
18:35there will be blood tests and many
18:36other things to check.
18:37>> Yes, Doctor, but honestly, the word...
18:40"
18:40>> Passing away" in our perception means
18:42it must decay or rot, so why can one
18:44baby pass away and nothing happens? How
18:46can it stay in the womb like that?
18:48>> Well, mostly in the womb, it's
18:50considered sterile, there are no germs
18:52or anything specific, so it's quite...
18:54>> The environment is quite...if the other
18:56child continues to grow during the
18:58pregnancy, it's like being inside a
19:00balloon, I see.
19:01>> And it will gradually crowd.
19:02>> Crowd the other balloon to make it
19:04smaller.
19:05>> Like this.
19:06>> But it doesn't mean it's 100%safe. Some
19:09people might even miscarry. That's why
19:13you need to see a doctor first to have
19:15them evaluate if it's okay.
19:18>> Doctor, let me ask you straight,
19:19because some people say, "Let's just
19:21have two at once." Between a normal
19:24pregnancy and twins, which is safer and
19:27better?
19:28>> Uh.
19:29>> A twin pregnancy is riskier by nature;
19:31it carries a lot of risk.
19:34>> Because not everyone can carry the
19:35pregnancy to full term.
19:37>> Yes.
19:37>> Sometimes there are complications like
19:39early miscarriages. Or one of the
19:41babies passes away. Or premature birth.
19:43If it's a premature birth, for example,
19:46if the gestational age is over 6-7
19:48months. Usually, the doctor can provide
19:50care so they survive. But if it's less
19:53than that, it might be very difficult
19:55for them to survive.
19:56>> Besides that, there are risks for the
19:58mother, such as preeclampsia.
20:00>> Diabetes or hemorrhaging.
20:02>> Yes.
20:03>> So it's riskier than having one baby at
20:05a time, right?
20:06>> That's right.
20:08>> This needs to be shared because some
20:10people feel—especially those with
20:12fertility issues—that they can use
20:13IVF or other methods. For normal
20:17pregnancies, we don't worry, but for
20:19those who use, say, assisted conception
20:21.
20:23>> Or injections; some people—like a
20:25colleague at my office who was so happy
20:27to be pregnant with triplets—had the
20:29means to raise them, but in the end,
20:31they lost them all.
20:34>> Yes, so the mother is carrying that
20:35risk.
20:36>> Uh.
20:37>> Actually, a twin pregnancy carries a
20:39lot of risk as well.
20:41>> Yes.
20:43>> It’s just that even with IVF, people
20:45sometimes fear it won't take—if I may
20:47use that term—so they decide to go
20:49for three.
20:52>> Getting pregnant with three is happy
20:54news, but then suddenly, losing them
20:55all is devastating.
20:56>> Yes, it is extremely risky.
20:59>> And what about cases where someone is
21:01pregnant, Doctor? Sometimes there are
21:04diseases that you wouldn't believe.
21:06I’d like to ask for some knowledge on
21:08this. Since you're here, there are some
21:11people who find out their baby might
21:12have a disability inside the womb. And
21:15the doctor recommends terminating the
21:17pregnancy because the baby wouldn't
21:19survive, like that. We will screen for
21:22these various diseases. They say it's
21:25related to chromosomes or something
21:26like that. What advice do you have for
21:29people nowadays regarding this? We can
21:31screen for it from the very early
21:33stages nowadays.
21:34>> Yes.
21:35>> Actually, you can start as early as 3
21:37months if you come for prenatal care.
21:39>> Our first ultrasound exam is done when
21:41we can see the baby's organs.
21:45>> At our Maharaj Hospital, the standard
21:47is 3 months, where we at least check
21:49the limbs, head, and visible internal
21:52organs.
21:53>> Yes.
21:54>> If we find anything then, we can
21:55diagnose it right away.
21:56>> Oh, I see. After that, we follow up
21:59with another ultrasound around 4 and a
22:01half to 5 months.
22:02>> At this stage, we can see cleft lips,
22:04small organs, heart, kidneys, liver,
22:07lungs, and everything. If we find any
22:09abnormalities, we can diagnose them
22:11before birth and advise on terminating
22:13the pregnancy in cases that cannot
22:14proceed, for example.
22:17>> What age does the mother need to be to
22:19require these tests? Some say at 30 you
22:25need to test this, at 35 you need an
22:27amniocentesis, and so on.
22:31>> Actually, it is recommended for all
22:33maternal ages.
22:34>> Not all maternal ages, sorry, every age
22:36is considered at risk.
22:38>> Yes, because modern technology allows
22:40us to test around 3 months by analyzing
22:42the baby's chromosomes from the
22:44mother's blood.
22:44>> Yes.
22:45>> So nowadays, just a blood test from the
22:47mother is enough to know.
22:48>> Oh.
22:48>> It's enough for screening.
22:50>> It's for screening, and if the doctor
22:52says the risk is high, then we proceed
22:54to amniocentesis.
22:56>> Do you have any further advice, Doctor,
22:57for mothers planning to get pregnant? I
23:02recommend getting prenatal care, but
23:04actually, you should prepare yourself
23:06even before conception. I suggest...
23:10>> Take care of yourself first to see if
23:12you are ready, such as having a
23:13preconception check-up.
23:15>> They actually recommend doing it even
23:17before marriage, if possible, for both
23:19you and your spouse.
23:21>> Oh, checking chromosomes and all that,
23:23right? Like checking for thalassemia,
23:27or if there are any carriers or family
23:29risks regarding genetics, and so on.
23:33>> Well, we can also get a check-up before
23:35, get a check-up before pregnancy.
23:37>> And prepare yourself to see if there
23:38are any underlying diseases that need
23:40to be managed.
23:41>> Before getting pregnant, for example,
23:43some people have diabetes or high blood
23:44pressure.
23:45>> For instance, if these are
23:46well-controlled before pregnancy,
23:48everything will go smoothly.
23:49>> More so than if we were to
23:51>> discover them only after becoming
23:53pregnant.
23:55>> Yes, prepare, prepare before getting
23:57pregnant, even before getting married?
24:01That is best.
24:02>> And before pregnancy, and once pregnant
24:04, you should come for prenatal care
24:05from the early stages.
24:07>> The doctor will provide guidance,
24:08something like that. Thank you so much,
24:11our time is up. Oh, see you next time.
24:15Thank you, goodbye. Goodbye, Associate
24:17Professor Dr. Fuanglada Thongprasert.
24:20Yeah.

About this transcript

This page contains the full transcript of สำเร็จครั้งแรกของไทย ทำคลอดทารกแฝดแท้ 4 คน จากไข่ใบเดียวและใช้รกร่วมกัน by MCOT News FM 100.5, generated from the public captions YouTube serves with the video. The transcript has 4,224 words across 737 segments, with the original timestamps preserved so you can click any line to jump to that moment in the embedded player.

What you can do with it

Use the transcript to take notes, quote the speaker, build a study guide, generate a summary with ChatGPT or Claude via the YouTube Summary tool, or export it as a timed subtitle file with YouTube to SRT. You can also re-open it in the transcriber to choose a caption track available on the video.

Free YouTube transcript tool

YouTube2Text is a free YouTube transcript generator — no signup, no daily limit. Paste any YouTube link and get the full transcript instantly, with timestamps, click-to-jump, caption language selection, AI prompts for ChatGPT, Claude, and Gemini, and exports to TXT, SRT, VTT, or Markdown.