multipreg

Question 1

what is mono

Answer 1

single egg fertilized splits
identical

Question 2

what is dizygotic

Answer 2

2 separate eggs fertilised simultaneously

Question 3

what are the types of multipreg

Answer 3

Dichorionic Diamniotic (DCDA) → 70%.

Monochorionic Diamniotic (MCDA).- 25%

Monochorionic Monoamniotic (MCMA). 5%

Question 4

how is multi preg dx

Answer 4

USS → λ (lambda) sign = dichorionic,
T-sign = monochorionic.

Question 5

what are the rf for multipreg

Answer 5

FHx, IVF use, idiopathic

Question 6

complications of multipreg

Answer 6

Twin-to-Twin Transfusion Syndrome (TTTS):
( one baby increased flow other is starved where ( donor twin who is small) pumps blood to recipient twin

Donor twin: growth restriction, oligohydramnios, anemia.

Recipient twin: polyhydramnios, polycythemia, heart failure.

Question 7

comp Twin-to-Twin Transfusion Syndrome (TTTS):

Answer 7

low bw
increased perinatal morality
spontaneous preterm birth ( 60%)
preeclamosia ( 30%)
hyperemesis

Question 8

tx of Twin-to-Twin Transfusion Syndrome (TTTS):

Answer 8

fetoscopic laser ablation
deliver 34- 36 + 6 weeks