Multiple Pregnancy

Question 1

Predisposing factors of multiple pregnancy

Answer 1

Increasing maternal age

Family history

Race

Assisted conception

Question 2

What is chorionicity

Answer 2

Refers to the placentation

Question 3

What is amniocity

Answer 3

Refers to the relation of the amniotic membranes between the twins

Question 4

What are the three chorionicity/amnionicity variations?

Answer 4

Dichorionic Diamniotic Twinning (always in dizygotic twins)

Monochorioni diamniotic twinning

Monochorionic monoamniotic twinning

Question 5

What are the risks assoc. with monochorionic twin pregnancy?

Answer 5

Miscarriage
Congenital defects
Preterm
IUGR
Perinatal loss
Twin-to-twin transfusion

Question 6

What are the maternal complications of multiple pregnancy?

Answer 6

Hyperemesis gravidarum
Miscarriage
PIG / pre-eclampsia
Gestational diabetes
Anaemia
APH/PPH
Placenta praevia

Question 7

What are the foetal complications of multiple pregnancy?

Answer 7

Perinatal mortality
Congenital abnormalities
Preterm labour
IUGR
TTT
Malpresentation