Multifetal Gestation Flashcards

1
Q

What congenital anomalies are monochorionic twins at risk for?

A

Heart defects

Echo at 20w

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2
Q

How often should ultrasound be performed for
Dichorionic?

Monochorionic?

A

Q4-6w

Q2w beginning at 16w

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3
Q

What is the timing for development of different types of twins

A

Fertilization 0-3 days Di Di
4-8d mono/Di
9-12 mono/mono
>13 conjoined

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4
Q

Delivery timing for twins

A

Di Di 38-39w
Mono-Di 34-38
Mono-mono 32-34

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5
Q

Maternal complications

A
Hyper emesis
Anemia
VTE
CD
Gestational diabetes
Gestational hypertension and preeclampsia
Postpartum hemorrhage
Depression
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6
Q

Fetal complications

A
IUGR 
Discordant growth
Congenital anomalies
Hydramnios
CoRD accident
Twin twin transfusion
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