Multifetal

Question 1

Complications of Twin Pregnancy

Maternal

Answer 1

Hyperemesis
Hydramnios
Preeclampsia
Anemia
APH
Pressure symptoms
PPH atony
Malpresentations
Increased operative delivery
Retained placenta

Question 2

Complications Twin Pregnancy

Fetal

Answer 2

Prematurity
IUGR
Cord prolapse
PROM
Anomalies
TTTS
vanishing twin
Abortion

Question 3

Twin Twin Transfusion Syndrome

Staging

Monochrionic Diamniotic
AFI LVP >8 cm in one and <2 in another

Answer 3

I - criteria but urine visible in Urinary Bladder of donor

II - criteria but no urine in UB of donor

III - stage II and abnormality in Umbilical artery ductus venosus or Umbilical Vein

IV - ascites or Frank Hydrops

V - demise or either fetus