Multiple Pregnanacy Flashcards
1
Q
Pathophysiology behind twins (6mks)
A
Monozygotic 1 egg 1 sperm one chorion 2 amnion (can have one but rare) one placenta twin to twin transfusion genetically identical stage of division decided number of placentas and membranes
Dizygotic 2 eggs and 2 sperm genetically unidentical can have different fathers 2 chorion 2 amnion 2 placentas which can become fused
2
Q
Risks on monchorionic twins (4)
A
IUD of one twin can cause other to absorb thromboplastins
Twin to twin transfusion
Cord entanglement
Locked twins
3
Q
Risks of twins (13)
A
Heightened pregnancy symptoms Risk of pre eclampsia Preterm labour Anemic Twin to twin transfusion IUGR if sharing same placenta PPH Retained placenta PROM APH Prolonged labour Risk of miscarriage vanishing twin syndrome Polyhydramnios
4
Q
What would your management plan be for someone with twins at 8/40
A
😊
