Management of the Multiple Pregnancy | Management in Pregnancy, Labour & Postnatal Period
Management of Multiple pregnancies is explained in this video.
As this is a High-risk condition in a mother so antenatal, intranatal, and postnatal vigilance are essential.
Antenatal–
– Diet
– Rest
– Fetal surveillance
Intranatal –
– Skilled persons
– I/V infusion or cross-matched blood
– USG
– Vaginal delivery only with Diamniotic pregnancies rest needed CS
– TTTS Interventions
Postnatal –
-Control PPH
Complications of the Multiple pregnancy | Maternal & Fetal Consequences
In this video, is explained about the complications of multifetal gestations in the mother and in the fetus.
Maternal complications are-
– Increased Minor discomforts
– HTN (Preeclampsia)
– APH
– Malpresentations
– Miscarriage
– Preterm Labour
Fetal complications are-
– LBW
– IUD
– Discordant growth of the fetus
– Stillbirth
– Unique to Monochorionic twins- TTTS, TRAP
Maternal Adaptations & Diagnosis in Multiple Pregnancy
In this video maternal physiological changes and Diagnosis of pregnancy are explained to confirm the multiple gestations.
Maternal Adaptations are-
– Increased Weight
– Increased Cardiac output
– Increased GFR
– Increased Tidal Volume
Diagnosis –
– History
– Subjective Symptoms
– Sonography – Twin peak Sign (Lambda Sign), T Sign
– MRI
Multiple Pregnancy Varieties & Incidences
In this video, Multiple gestations are explained with their Varieties & Incidences.
Multiple Pregnancy is the development of 2 or more fetuses at the same time in a pregnancy.
The most common variety is Twin pregnancy in which Dizygotic Twin is the commonest one. It is found in 80% of conditions.
In Dizygotic Twin (Fraternal, Non-Identical, Binovular Twin) develops from the fertilization of 2 ova release in the same menstrual cycle with 2 sperm cells. The sex of the baby may differ and there is 2 Placenta with 4 intervening membranes.
In Monozygotic Twin (Identical, Uinovular Twin) develops from the fertilization of 1 ova with 1 sperm cells that split to form 2 fetuses. The sex of the baby is always the same and there are 4 varieties depends on when the splitting occurs-
1. Dichorionic and Diamniotic (D/D) – Splits after Fertilization within 72 hrs.
2. Monochorionic and Diamniotic (M/D) – Splits within 4-8 days
3. Mochorionic and Monoamniotic (M/M) – Splits after 8 Days
4. Conjoined Twin – Splits after 2 weeks.
Incidences – Monozygotic 1 in 250 cases
Dizygotic varies by Race, Age, Increasing Parity, Hereditary
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