Topic 20: Multifetal Gestation

The Association of Professors of Gynecology and Obstetrics (APGO) Medical Student Educational Objectives define a central body of women’s health knowledge, skills and attitudes that are fundamental to the practice of a general physician, and are intended to provide clerkship directors, faculty and students with a resource for curriculum development, teaching and learning. The companion videos to the APGO Objectives are meant to supplement the interactive online Objectives, teaching cases and outlines available to APGO members at www.apgo.org/educational-resources/apgo-medical-student-educational-objectives.

[@karlkoessler2679]

0:20 Objectives
0:47 Chorionicity (See FA 2019 page 602 instead)
2:13 Risk factors for multifetal gestation
2:22 Risk to fetus
2:27 Average delivery week
2:33 Risk to fetus and mother
2:44 Risk with each Chorionicity
2:46 DiMo specific risks (Twin Twin transfusion)
3:21 DiMo tx
3:28 MoMo specific risks
3:41 Dx with ultrasound
3:59 Ultrasound of DiDi
4:06 Ultrasound of MoMo
4:13 Ultrasound of DiMo
4:23 Management
4:31 Complications
4:39 Maternal Management
5:00 Fetal Concerns
5:25 Timing of Delivery
5:30 DiDi (38 wks)
5:37 DiMo (34-37+6 wks)
5:45 MoMo (32-34 wks)
5:56 Route of delivery
6:03 MoMo (C-section)
6:10 DiMo and DiDi (Vag after 32)
6:16 Cephalic presentation
6:32 External cephalic version
6:44 Breech delivery
6:56 Summary

[@_Rashedagrewup]

This was the best so far at relaxing my fear's of explaining twins that made perfect since thank you sooo much.

[@bharthalavenkata5701]

My wife monochorionic diamniotic twins pregnancy this same gender or different

[@marxaj1630]

Monochorionic diamniotic twins are monozygotic so they will be the same gender.

[@sukantakumarkanharkanhar9783]

My wife diamonic dicroconic pregnancy its same gender or different gender plz reply me madam ......?

[@marxaj1630]

A diamniotic dichorionic pregnancy could be monozygotic or dizygotic. They could be the same or different genders.

[@sukantakumarkanharkanhar9783]

@@marxaj1630 sir different sacks and different plasanta ,one anterior other one posterior...then what be ......both low lying one grade 2

[@drakemusoki2098]

Dichorionic diamniotic twins can either be either same sex or different sex. Remember it's two sperms fertilizing two ova

[@kathleensoltis4281]

Typo-2:42 congital-->congenital; --3:17-- polydramnios-->polyhydramnios

[@Aschref]

Thank you !

[@aidash6111]

Thank you so much!