Multifetal Preganancy

Question 1

most common fetal complication of multifetal gestation,?

Answer 1

**Prematurity
*present in 25% of twin pregnancies,
*50% in triple pregnancies,
* 75% in quadruple
pregnancies

Question 2

Dizygotic twins

Answer 2

*arise from multiple ovulation with two zygotes.

They are always Di-chorionic, Di-amniontic

Question 3

.Monozygotic twins

Answer 3

arise from one zygote

Question 4

Twin-Twin Transfusion syndrome

Answer 4

*In Mono-chorionic gestation.
*Donor Vs Recipient.
-The twins share a single placenta but do so unequally less blood supply,
** resulting in donor :
#growth restriction
#oligohydramnios
#anemia.
**recipient:
#excessive growth
#polyhydramnios
#polycythemia.
#more risk to die

Question 5

Twin-Twin Transfusion syndrome treatment :

Answer 5

laser therapy

Question 6

Di-chorionic, Di-amniotic

Answer 6

two placenta and two sacs
{delivery at 37+ week} (vaginal)

Question 7

Mono-chorionic, Di-amniotic

Answer 7

one placenta and two sacs.
{delivery at 36-37 week} (vaginal)

Question 8

Mono-chorionic, Mono-amniotic

Answer 8

one placenta and one sac.
{delivery by CS at 32-34 week due to risk of cord entanglement

Question 9

twin type indication for c-cection

Answer 9

monochorionic monoamniotic twins

Question 10

thickness of septum on ultrasound

Answer 10

T sign(thin) - MC twin
lambda sign (thick)-DC twin