multiple gestation

Question 1

reasons

Answer 1

> 1 egg released during menstrual cycle
zygote divides after fertilisatino
IVF

Question 2

lamba sign

Answer 2

2 placentas

dichorionic diamniotic twins

Question 3

T sign

Answer 3

one placenta

monochorinic diamniotic twins

Question 4

maternal complications

Answer 4

preterm labour 
hyperemesis 
anaemia
HTN
GDM 
PPH

Question 5

fetal complications

Answer 5

prematurity
growth restriction
inc birth complications
inc perinatal mortality/morbidity

Question 6

complications for monochorionic twins

Answer 6

twin-twin transfusion syndrome
selective growth restriction
twin anaemia polycythaemia sequence
single twin death

Question 7

antenatal care

Answer 7

routine care
specialist clinic w regular scans to moitor growth and ID complications

dichorionic 8 AN visits
monochorioic 11 AN visits

Question 8

aim for delivery when? dichorionic diamniotic

Answer 8

37wks
vaginal delivery (if not cephalic)

Question 9

aim for delivery when? monochorionic diamniotic

Answer 9

36wks

vaginal delivery if not cephalic

Question 10

aim for delivery when? triplets

Answer 10

36wks

CS