Multiple Gestation — Flashcards

Flashcard 1: In Quintero stage _____, there will be frank ascites or hydrops in either twin

Answer: IV

Flashcard 2: _____ staging is used in the grading of twin to twin transfusion syndrome.

Answer: Quintero

Flashcard 3: Thin-walled arterioles are usually seen in the _____ twin of twin-twin transfusion syndrome

Answer: donor

Flashcard 4: Polyhydramnios is when amniotic fluid index (AFI) is more than _____ cm or a single deepest vertical pocket (DVP) is more than 8 cm

Answer: 24

Flashcard 5: The most common presentation in multifetal pregnancy is _____

Answer: Cephalo-Cephalic.

Flashcard 6: "Lambda/Twin-peak sign" is the sonographic image seen in a _____chorionic twin pregnancy.

Answer: di

Flashcard 7: The following is a _____chorionic _____amniotic placenta

Answer: mono

Flashcard 8: The presence of cord entanglement is indicative of _____ twins

Answer: monoamniotic

Flashcard 9: Chorion periphery is a thickened, opaque, gray white circular ridge composed of a double fold of chorion and amnion: _____ placenta

Answer: Circumvallate

Flashcard 10: The clinical criteria for diagnosis of _____ include sudden cardiopulmonary collapse, clinical evidence of DIC, and onset during labor or within 30 minutes of placental delivery.

Answer: Amniotic fluid embolism (AFE)

Extra: Amniotic fluid embolism (AFE) is primarily a clinical diagnosis of exclusion. The Society for Maternal-Fetal Medicine (SMFM) diagnostic criteria include: 1. Acute onset of cardiopulmonary collapse (cardiac arrest, or hypotension + respiratory distress). 2. Evidence of Disseminated Intravascular Coagulation (DIC). 3. Clinical onset during labor or within 30 minutes of delivery of the placenta. 4. Absence of other clinical explanations for the findings.