Multiple pregnancy

Question 1

Define multiple pregnancy

Answer 1

Two or more fetus’s

Question 2

What is the difference between monozygotic and dizygotic twins?

Answer 2

Monozygotic= uniovular 
Dizygotic= Binovular
Monozygotic= splitting of zygote
Dizygotic= Two eggs

Question 3

What are the risk associated with multiple pregnancy?

Answer 3

Anaemia, Pre-Eclampsia, GDM, prematurity, placenta insufficiency and PPH

Question 4

What antenatal care should be given to women with multiple pregnancy?

Answer 4

Asses mental health, nutrition, GTT and BP

Question 5

What labour care should be given to women with multiple pregnancy?

Answer 5

Offer SVD (if both cephalic or one breech with ECV), CTG, delay birth of twin 2, prevent asphyxia

Question 6

What should you be aware of for women with multiples during labour?

Answer 6

Increased PPH risk, increased sepsis risk and increased PROM

Question 7

What is the role of a midwife in looking after women with multiple pregnancy?

Answer 7

Guidance, discuss changed (physical and emotional), advice re pain and encourage support group