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Gynaecology & Obstetrics Twin Pregnancy, Molar Pregnancy, Gestational Trophoblastic disease and contraception in special situations (Sour Grapes!) 80ad457e

FALSE about maternal adaptation in multiple pregnancy compared to that in singleton pregnancy is?

A
Greater maternal blood volume expansion
B
Propoionately more red cell mass increase along with fluid increase and hence similar Hb pattern as singleton pregnancy
C
Higher incidence of Hyperemesis in twins
D
Higher blood volume expansion in twins
High-Yield Explanation
Twin pregnancy is associated with higher serum b- hCG levels & hence have nausea and vomiting in excess of that with a singleton pregnancy Although red cell mass increases in multiple gestation but this increase is propoionately less compared to singleton pregnancy. This combined with greater iron and folate requirements , predisposes to anemia more likely than in singleton pregnancy

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