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Gynaecology & Obstetrics Multiple Pregnancy 6365103a

Most important factor that affects the outcome of twin gestation is -

A
Lie of first twin
B
Lie of second twin
C
Chorionicity
D
Placental position
High-Yield Explanation
Ans is 'c' i.e., Chorionicity * Twin pregnancy has increased risk of complications as compared to singleton pregnancy.* Chorionicity is the most important factor that affects the outcome in Twin gestation.* Monochorionic twins have more complications compared to dichorionic twins.* All complications and perinatal mortality are more frequent in monochorionic twins as compared to dichorionic.Overview of the Incidence of Twin Pregnancy Zygosity and Corresponding Twin-Specific ComplicationsType of TwinningTwinsTwin-Specific Complication (%)Fetal Growth RestrictionPreterm DeliveryPlacental Vascular AnastomosisPerinatal MortalityDizygotic (DC, DA)802540010-12Monozygotic 204050 15-18Diamnionic/dichorionic (DC, DA)6-73040018-20Diamnionic/ monochorionic (MC, DA)13-14 6010030-40Monoamnionic/ monochorionic (MC, MA)<14060-7080-10058-60Conjoined0.002-0.008-70-8010070-90

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