Welcome to your Management Of Multiple Pregnancy

1. The chorionicity of twin pregnancy is best detrimened

2. Mrs.x primigravida in her 13 weeks of pregnancy.she conceived by IVF. Sonographer did dating scan -Twin gestation but unable to determine chorionicty of preganncy . All re true in this scenario except

3. Lambda sign in ultrasound is seen in

4. Mrs.x primigravida in her 13 weeks of pregnancy.she conceived by IVF.
Sonographer did dating scan -Twin gestation with T sign . She is anxious and worried asking regrading follow up of her pregnancy
What is the frequency of hospital visits you would advise her ?

5. Mrs.x primigravida in her 13 weeks of pregnancy.she conceived by IVF. Sonographer confirmed Monochorionic diamniotic twin gestation .She was advised to have antenatal hospital visits should be every 2-3 weeks from 16 weeks’ gestation until delivery.The main reason for close follow up sureveillance is to

6. MRS. x is 37 weeks pregnant with twin gestation presented in active labour. She is 6cm dilated .its DADC. Twin pregnancy cephalic to transverse lie Presentation . Her first delivery is a normal delivery . She is wantingnormal delivery . She opted for Epidural analgesia & she delivered first baby uneventfully .
After delivery of her first baby , second twin is Transverse lie what would you do now

7. Mrs.x primigravida in her 13 weeks of pregnancy.she conceived by IVF.
Sonographer confirmed Monochorionic diamniotic twin gestation .She was advised to have antenatal hospital visits should be every 2-3 weeks from 16 weeks’ gestation until delivery.
She developed Twin to Twin transfusion syndrome -quntero stage 1at 24 weeks managed by laser ablation. Her follow up visits were normal .what is the optimum time for her delivery ?

8. The rate of twin pregnancies is increasing worldwide , the current rate of twin pregnancies in Ireland is

9. Multiple pregnancies are high risk due to increase perinatal mortality and morbidity, the outcome is largely driven by

10. A 44 years old Para 0 has attended for her dating scan at 12 weeks , this is an IVF pregnancy and two day 5 blastocyst was transferred using donar eggs. The sonographer is not sure regarding the finding of the scan and has referred her to the fetal medicine unit due to the likelihood of monochorionic  diamniotic pregnancy , the factor which determine this type of pregnancy is

11. A 22 years old Para 1 has attended for her dating scan and to determine the chorionicity. The sonographer has seen no intertwin membrane between foetuses , this is

12. You are seeing a 36 yrs old para 5 at booking visit at 14 weeks who has monochorionic diamniotic pregnancy. After discussing the risks of twin pregnancy she is inquiring what is the important factor for preterm deliver in twin pregnancies :

13. Mrs Natalia 22yrs old para 1  had a normal anomaly scan at 21+2 weeks of her monochorionic diamniotic twins . No structural abnormality has been identified and she had a normal NIPT at 14 weeks . This is a spontaneous pregnancy and there are no signs of TTTS and IUGR . When should she have her next visit.

14. A 30 yrs old banker who is 25 weeks with MCDA twins has attended for her routine scan. Her previous scan was normal . Now you see twin one has DVP of 8 cm with AFI of 22 cm , twin two has DVP of 0.9 cm with oligohydramnios. How will you manage her pregnancy

15. Mrs Emily is 40 years old with MCDA twins , this is her 7 th cycle of IVF . She had a laser ablation at 18 weeks followed by PPROM at 18+2 weeks , the management in this case is

16. Mrs Sarah para 1 with previous C section 4 yrs ago has DCDA twins, you have made a plan for this pregnancy including delivery at what gestation :