Twin Pregnancy Counselling - Edubirdie

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

90

Pages:

3
Author:

Mariam A. A.

Twin Pregnancy Counselling Counselling About Risks of Multiple Gestations In twin pregnancy there is an increased risk of everything except macrosomia Women with multiple gestations are at an increased risk of both maternal and fetal complications. Maternal complications include: Gestational diabetes Gestational hypertension including PET which may progress into eclampsia Obstetric cholestasis Hyperemesis gravies Venous thromboembolism Fetal maternal haemorrhage Increased risk of operative delivery Increased risk of miscarriage Increased risk of premature rupture Antepartum haemorrhage Increased risk of post-partum infections Fetal complications Congenital abnormalities Preterm birth Stillbirth IUGR SGA In your case TTTS Placental pathologies – placental abruption and previa Growth discordance Increased risk of cord prolapses and cord entanglement Post-partum complications Financial difficulties Breast feeding difficulties Depression PPH TTTS Usually mothers do not have symptoms, but there may be symptoms such as: Shortness of breath Abdominal distension Abdominal tenderness Decreased fetal movements Orthopneic Edema However, since you have a monochronic pregnancy we will perform fortnightly ultrasounds from weeks 16 onwards Will assess for: Polyhydramnios and oligohydramnios Growth discordance Conditions for Vaginal Delivery Suitability Cephalic presentation – especially the first twin If the first twin is not, then we would need a c-section delivery Longitudinal lie Cephalopelvic dimensions Twins have no evidence of fetal compromise and distress Should be in hospital Continuous CTG monitoring Access to epidural/spinal anaesthesia

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