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Multiple Pregnancy (1)

The document discusses multiple pregnancies, defining them as the presence of two or more babies in the uterine cavity, and highlights the increasing incidence due to factors like maternal age and IVF. It categorizes multiple pregnancies into types, including monozygotic and dizygotic twins, and outlines their respective characteristics and complications for both mothers and fetuses. Management strategies are provided, emphasizing prenatal care, labor and delivery considerations, and postnatal support.

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ahmedideal7
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3 views18 pages

Multiple Pregnancy (1)

The document discusses multiple pregnancies, defining them as the presence of two or more babies in the uterine cavity, and highlights the increasing incidence due to factors like maternal age and IVF. It categorizes multiple pregnancies into types, including monozygotic and dizygotic twins, and outlines their respective characteristics and complications for both mothers and fetuses. Management strategies are provided, emphasizing prenatal care, labor and delivery considerations, and postnatal support.

Uploaded by

ahmedideal7
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Multiple Pregnancy

DR. M.haroun

06/23/2025
Definition

2 or more baby in the uterine cavity

06/23/2025
Incidence

Increasing recently
Increase maternal age
IVF
Drugs for induction ovulation

06/23/2025
Types of Multiple Pregnancy

Twins

High order multiple pregnancy

06/23/2025
Types of Twins
According to number of ova

Monozygotic

Dizygotic

06/23/2025
Monozygotic Twins

Monozygotic : single ova . Single sperm


Incid: 30% of twins constant no variation

06/23/2025
Monozygotic Twins

Types according time of complete dividing


day0-3 dichorionic diamniotic
Day3-9 monochorionic diamniotic
Day 9-13 monochorionic monoamniotic
After day13 conjoint twins

06/23/2025
Dizygotic
Polyovulation
70%
herditary@ethinc factor
IVF
Parity

06/23/2025
Diagnosis

Clinical exam:
Exaggerated pregnancy symptoms .
PIH in early pregnancy
FL more date.
Multiple fetal parts.2pole FH
investigation/S confirmation +chorionicty

06/23/2025
Diagnosis
History :
FH
PH
Drug H
IVF history

06/23/2025
Complication Maternal
PIH

Polyhidramnios

APH

Risk of: operative VD,C/S

Preterm labor +delivery

06/23/2025
Complications Maternal
Exaggerated early pregnancy symptoms

Miscarriage

Minor disorders of pregnancy


backache,pressure,difficult walk

Anemia

06/23/2025
Complications Maternal

Single fetal death

APH

Postnatal problems : failed to cope


+depression

MMR 2fold
06/23/2025
Fetal Risk
SB +early neonatal death

Prematurity & it`s complication

IUGR

Congenital anomalies

Cord accident
06/23/2025
Fetal Risk
TTTs

Asphyxia +retained 2nd twin

Operative VB +birth trauma

Cerebral palsy

06/23/2025
Management
Prenatal:-

 Normal ANC
 Early diagnosis of chorionicty U/S
 Fetal anomaly scan
 Fetal assessment
 Maternal education

06/23/2025
Labor&delivery
Hospital one with good facilities for S/C &
fetal resuscitation
Twin site of conteroversion
Vertx-vertx=VB other factors OK
Vertx -nonvertx=VB other ok
Nonvertx -vertex=C/S
High order multiple pregnancy for C/S

06/23/2025
Postnatal

Maternal support &education

Neonatal feeding

06/23/2025

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