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Maternal

 

There is increased risk of the following:

  1. Anemia
  2. Hyperemesis
  3. Preeclampsia
  4. Polyhydramnios
  5. Preterm labor
  6. Gestational diabetes mellitus
  7. APH (placenta previa + abruption)
  8. Cord prolapse
  9. PPH
  10. Operative delivery

Overview of the Incidence of Twin Pregnancy Zygosity and Corresponding Twin-Specific Complications
 

Type of Twinning

Twin-Specific Complication (%)

Twins

Fetal Growth

Restriction

Preterm

Delivery

Placental

Vascular

Anastomosis

Perinatal

Mortality

Dizygotic (DC, DA)

80

25

40

0

10-12

Monozygotic

20

40

50

 

15-18

Diamnionic/ dichorionic (DC, DA)

6-7

30

40

0

18-20

Diamnionic/ monochorionic (MC, DA)

13-14

50

60

100

30-40

 

 

-

 

 

Monoamnionic/ monochorionic (MC, MA)

<1

40

60-70

 

 80-100.

58-60

Conjoined

0.002-0.008

-

70-80

100

70-90

 

Best prognosis = DC, DA

 

Worst prognosis = conjoint twins followed by MC, MA





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