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Multiple Gestation
Unmanned
Question | Answer |
---|---|
Risk factors for multiple gestation | 1. Advanced Maternal Age, Black, family hx of twins, ovulation induction |
Classification of multiple gestation | Zygosity, Chorionicity |
Special features of multi gestation mx | 1. Early booking with hi risk clinic 2, Prophylactic Fe & folate supplementation. 3. Glucose screening 4. Foetal surveillance and anomaly scan 5. |
Route of delivery in multi gestation | Vaginal; if twin A cephalic is recommended if there are no c/i to vag delivery. avoids complications assoc with c/s |
antenatal maternal complications of multiple gestation | hyperemesis gravidarum, anaemia, gestational diabetes, HTN disorders, miscarriages, APH, Preterm labour, PROM, polyhydramnios |
antenatal foetal complications | IUGR, congenital anomalies, cord compression, malpresentation, preterm labour, TTS |