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Multiple Gestation


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
Created by: IonaDel