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Causes of Increased Risks of Twin Pregnancy
The intrauterine fetal death rate is six times higher than in singleton pregnancy. While only a small proportion of all pregnancies are multiple, they account for 12% of neonatal deaths.
·         High incidence of premature labour complicated l immature lungs and cerebral hemorrhage.
·         Low birthweight — IUGR and placental anomalies unique to multiple gestation. IUGR occurs in 25— 30% of twins.
·         Increased incidence of polyhydramnios and oligohydramnios (7% of twins).
·         Increased incidence of congenital anomalies (7%).
·         Fetal interlocking malpresentation.
·         Increased incidence of umbilical cord insertion anomalies.
·         Increased maternal complications, particularly
Antepartum hemorrhage
Pregnancy induced hypertension
Pre-eclampsia
Iron deficiency anemia
Hyperemesis
Pyelonephritis
Cholestasis.
Sonographic surveillance of these high risk pregnancy; should be routine because early diagnosis of complications leads to better management and reduction of fetal mortality.

 

 
 
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