Twins Flashcards
1
Q
Twin and higher order multiple pregnancies should always have care with obstetrician, due to the following risks -
A
preterm labour medical - GDM, GHTN and PET placenta - praevia, abruption haemorrhage - PPH FGR and twin-twin transfusion syndrome
2
Q
What frequency of USS surveillance is recommended?
A
Uncomplicated dichorionic diamniotic - 4 weekly USS
Monochorionic diamniotic - fortnightly USS as 15% risk of twin-twin transfusion syndrome and 30% risk growth discordance
Monoamniotic twins and HOMs - MFM care
3
Q
When should chorionicity be documented?
A
In first trimester USS
4
Q
What should fortnightly USS look at for monochorionic twins?
A
Growth amniotic fluid volume in each sac bladder volumes umbilical artery Dopplers middle cerebral artery Dopplers (from 24 weeks)
5
Q
Even in the absence of TTTS and FGR, monochorionic twins are at higher risk of stillbirth and hence delivery is recommended at/by
A
37 weeks gestation
