SlideShare une entreprise Scribd logo

Multiple Gestations

•
•
Clinton Pong
Clinton Pong
Développement personnelDivertissement et humour
1  sur  17
Multiple Gestations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Incidence is increasing! Inc 65% for twins Inc 500% for triplets+ Multifetal gestation = only 3% of total births, but >20% of complications like PTD, LBW, VLBW babies
On average… Twins deliver @ 35+2wk Triplets deliver @ 32+1wk BUT The lowest mortality for: Twins = 38 wk Triplets = 35 wk
Morbidity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AMA, ART and ovum induction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology: Monozygotic ,[object Object],[object Object],[object Object],[object Object],[object Object],Morula Day 0-3 Blastocyst Day 4-8 Implanted blastocyst Day 8-13 Embryonic disc Day 13-15
Etiology: Dizygotic Ultrasound image of "twin-peak" sign showing an extension of placental tissue into the intertwin membrane, confirming dichorionic twinning. 2/3 of all twins Diamniotic/dichorionic
Differential diagnosis for LGA uterus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maternal Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Preterm Delivery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fetal complications: TTTS ,[object Object],[object Object],[object Object],[object Object]
Fetal Complications: IUGR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Routine Antepartum Fetal Surveillance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reduction/Selective Termination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
When do you deliver twins?
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ACOG Bulletin Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recommandé

Multiple pregnancies
Multiple pregnanciesMultiple pregnancies
Multiple pregnanciesFaculty Of Medicine
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyVarsha Deshmukh
 
Multiple pregnancy by Dr taimur afridi
Multiple pregnancy by Dr taimur afridiMultiple pregnancy by Dr taimur afridi
Multiple pregnancy by Dr taimur afridiAyub Medical College
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyAmitndls
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyNirav Valand
 
Twin Pregnancy by Taniya Mondal (Tutor, Shova Rani Nursing College)
Twin Pregnancy by Taniya Mondal (Tutor, Shova Rani Nursing College)Twin Pregnancy by Taniya Mondal (Tutor, Shova Rani Nursing College)
Twin Pregnancy by Taniya Mondal (Tutor, Shova Rani Nursing College)TaniyaMondal6
 
multiple pregnancy
multiple pregnancymultiple pregnancy
multiple pregnancyArchana Rathore
 
Twins
TwinsTwins
TwinsJohn R. Martinelli, MD, OD
 

Recommandé

Multiple pregnancies
Multiple pregnanciesMultiple pregnancies
Multiple pregnanciesFaculty Of Medicine
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyVarsha Deshmukh
 
Multiple pregnancy by Dr taimur afridi
Multiple pregnancy by Dr taimur afridiMultiple pregnancy by Dr taimur afridi
Multiple pregnancy by Dr taimur afridiAyub Medical College
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyAmitndls
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyNirav Valand
 
Twin Pregnancy by Taniya Mondal (Tutor, Shova Rani Nursing College)
Twin Pregnancy by Taniya Mondal (Tutor, Shova Rani Nursing College)Twin Pregnancy by Taniya Mondal (Tutor, Shova Rani Nursing College)
Twin Pregnancy by Taniya Mondal (Tutor, Shova Rani Nursing College)TaniyaMondal6
 
multiple pregnancy
multiple pregnancymultiple pregnancy
multiple pregnancyArchana Rathore
 
Twins
TwinsTwins
TwinsJohn R. Martinelli, MD, OD
 
Multifetal gestation
Multifetal gestationMultifetal gestation
Multifetal gestationAkeFid
 
Multiple pregnancy file
Multiple pregnancy fileMultiple pregnancy file
Multiple pregnancy filebarryjohnwhitlow
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyberbets
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyAbino David
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancydipali pingale
 
Multiple pregnancy chandni
Multiple pregnancy chandniMultiple pregnancy chandni
Multiple pregnancy chandniChandniThampi
 
Multiple gestation
Multiple gestationMultiple gestation
Multiple gestationJumana Al Zainal
 
Causes & Complications Of Multiple Births
Causes & Complications Of Multiple BirthsCauses & Complications Of Multiple Births
Causes & Complications Of Multiple BirthsBilly Hade
 
Multiple pregnancy.prof.salah
Multiple pregnancy.prof.salahMultiple pregnancy.prof.salah
Multiple pregnancy.prof.salahSalah Roshdy AHMED
 
Twins
TwinsTwins
TwinsLa Lura White
 
Final
FinalFinal
Finalrs rs
 
Multiple pregnancy for 4th year med. students
Multiple pregnancy for 4th year med. studentsMultiple pregnancy for 4th year med. students
Multiple pregnancy for 4th year med. studentsDr. Aisha M Elbareg
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyRosetta Davis
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyDr.Avinash Kumar
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyraj kumar
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancytariggally
 
Multifetal pregnancy RADIOLOGY
Multifetal pregnancy RADIOLOGYMultifetal pregnancy RADIOLOGY
Multifetal pregnancy RADIOLOGYdypradio
 
Multiple Pregnancy
Multiple PregnancyMultiple Pregnancy
Multiple PregnancyRedzwan Abdullah
 
Delivery of twins
Delivery of twins Delivery of twins
Delivery of twins regiregene
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyEneutron
 
Selective embryo-fetal reduction
Selective embryo-fetal reductionSelective embryo-fetal reduction
Selective embryo-fetal reductionSofía Fournier Fisas
 
Multifetal pregnancy fetal reduction
Multifetal pregnancy fetal reductionMultifetal pregnancy fetal reduction
Multifetal pregnancy fetal reductionSantosh Gupta
 

Contenu connexe

Tendances

Multifetal gestation
Multifetal gestationMultifetal gestation
Multifetal gestationAkeFid
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyberbets
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyAbino David
 
Multiple pregnancy chandni
Multiple pregnancy chandniMultiple pregnancy chandni
Multiple pregnancy chandniChandniThampi
 
Causes & Complications Of Multiple Births
Causes & Complications Of Multiple BirthsCauses & Complications Of Multiple Births
Causes & Complications Of Multiple BirthsBilly Hade
 
Final
FinalFinal
Finalrs rs
 
Multiple pregnancy for 4th year med. students
Multiple pregnancy for 4th year med. studentsMultiple pregnancy for 4th year med. students
Multiple pregnancy for 4th year med. studentsDr. Aisha M Elbareg
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyraj kumar
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancytariggally
 
Multifetal pregnancy RADIOLOGY
Multifetal pregnancy RADIOLOGYMultifetal pregnancy RADIOLOGY
Multifetal pregnancy RADIOLOGYdypradio
 
Delivery of twins
Delivery of twins Delivery of twins
Delivery of twins regiregene
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyEneutron
 

Tendances (20)

Multifetal gestation
Multifetal gestationMultifetal gestation
Multifetal gestation
 
Multiple pregnancy file
Multiple pregnancy fileMultiple pregnancy file
Multiple pregnancy file
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancy
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancy
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancy
 
Multiple pregnancy chandni
Multiple pregnancy chandniMultiple pregnancy chandni
Multiple pregnancy chandni
 
Multiple gestation
Multiple gestationMultiple gestation
Multiple gestation
 
Causes & Complications Of Multiple Births
Causes & Complications Of Multiple BirthsCauses & Complications Of Multiple Births
Causes & Complications Of Multiple Births
 
Multiple pregnancy.prof.salah
Multiple pregnancy.prof.salahMultiple pregnancy.prof.salah
Multiple pregnancy.prof.salah
 
Twins
TwinsTwins
Twins
 
Final
FinalFinal
Final
 
Multiple pregnancy for 4th year med. students
Multiple pregnancy for 4th year med. studentsMultiple pregnancy for 4th year med. students
Multiple pregnancy for 4th year med. students
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancy
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancy
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancy
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancy
 
Multifetal pregnancy RADIOLOGY
Multifetal pregnancy RADIOLOGYMultifetal pregnancy RADIOLOGY
Multifetal pregnancy RADIOLOGY
 
Multiple Pregnancy
Multiple PregnancyMultiple Pregnancy
Multiple Pregnancy
 
Delivery of twins
Delivery of twins Delivery of twins
Delivery of twins
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancy
 

En vedette

Multifetal pregnancy fetal reduction
Multifetal pregnancy fetal reductionMultifetal pregnancy fetal reduction
Multifetal pregnancy fetal reductionSantosh Gupta
 
Wiki.multiples for review class 2011
Wiki.multiples for review class 2011 Wiki.multiples for review class 2011
Wiki.multiples for review class 2011 cslonern
 
Early pregnancy
Early pregnancyEarly pregnancy
Early pregnancyairwave12
 
Twin pregnancy update hospital segamat
Twin pregnancy update hospital segamatTwin pregnancy update hospital segamat
Twin pregnancy update hospital segamatDr Zharifhussein
 
Multiple pregnancy – management
Multiple pregnancy – managementMultiple pregnancy – management
Multiple pregnancy – managementAparna P Anand
 
Determination of gestational age revised copy
Determination of gestational age revised copyDetermination of gestational age revised copy
Determination of gestational age revised copyAWOYEMI FRANCIS Oluwaseyi
 
Management of dengue patient
Management of dengue patientManagement of dengue patient
Management of dengue patientLee Oi Wah
 
Multiple pregnancy: Aboubakr Elnashar
Multiple pregnancy: Aboubakr ElnasharMultiple pregnancy: Aboubakr Elnashar
Multiple pregnancy: Aboubakr ElnasharAboubakr Elnashar
 
First trimester ultrasound
First trimester ultrasoundFirst trimester ultrasound
First trimester ultrasoundRoshan Valentine
 
First trimester ultrasound Dr. Muhammad Bin Zulfiqar
First trimester ultrasound Dr. Muhammad Bin ZulfiqarFirst trimester ultrasound Dr. Muhammad Bin Zulfiqar
First trimester ultrasound Dr. Muhammad Bin ZulfiqarDr. Muhammad Bin Zulfiqar
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancyFahad Zakwan
 
Multiple Pregnancy - Diagnosis ,Clinical Features & Complications
Multiple Pregnancy - Diagnosis ,Clinical Features & ComplicationsMultiple Pregnancy - Diagnosis ,Clinical Features & Complications
Multiple Pregnancy - Diagnosis ,Clinical Features & ComplicationsHari Dev
 

En vedette (18)

Selective embryo-fetal reduction
Selective embryo-fetal reductionSelective embryo-fetal reduction
Selective embryo-fetal reduction
 
Multifetal pregnancy fetal reduction
Multifetal pregnancy fetal reductionMultifetal pregnancy fetal reduction
Multifetal pregnancy fetal reduction
 
Multiple gestations
Multiple gestationsMultiple gestations
Multiple gestations
 
MULTIFETAL PREGNANCY
MULTIFETAL PREGNANCYMULTIFETAL PREGNANCY
MULTIFETAL PREGNANCY
 
Twin pregnancy
Twin pregnancyTwin pregnancy
Twin pregnancy
 
Wiki.multiples for review class 2011
Wiki.multiples for review class 2011 Wiki.multiples for review class 2011
Wiki.multiples for review class 2011
 
Early pregnancy
Early pregnancyEarly pregnancy
Early pregnancy
 
Twin pregnancy update hospital segamat
Twin pregnancy update hospital segamatTwin pregnancy update hospital segamat
Twin pregnancy update hospital segamat
 
Multiple pregnancy – management
Multiple pregnancy – managementMultiple pregnancy – management
Multiple pregnancy – management
 
Determination of gestational age revised copy
Determination of gestational age revised copyDetermination of gestational age revised copy
Determination of gestational age revised copy
 
Management of dengue patient
Management of dengue patientManagement of dengue patient
Management of dengue patient
 
Multiple pregnancy: Aboubakr Elnashar
Multiple pregnancy: Aboubakr ElnasharMultiple pregnancy: Aboubakr Elnashar
Multiple pregnancy: Aboubakr Elnashar
 
Art f reduction
Art f reductionArt f reduction
Art f reduction
 
First trimester ultrasound
First trimester ultrasoundFirst trimester ultrasound
First trimester ultrasound
 
First trimester ultrasound Dr. Muhammad Bin Zulfiqar
First trimester ultrasound Dr. Muhammad Bin ZulfiqarFirst trimester ultrasound Dr. Muhammad Bin Zulfiqar
First trimester ultrasound Dr. Muhammad Bin Zulfiqar
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancy
 
Multiple Pregnancy - Diagnosis ,Clinical Features & Complications
Multiple Pregnancy - Diagnosis ,Clinical Features & ComplicationsMultiple Pregnancy - Diagnosis ,Clinical Features & Complications
Multiple Pregnancy - Diagnosis ,Clinical Features & Complications
 
Multiple pregnancy
Multiple pregnancyMultiple pregnancy
Multiple pregnancy
 

Similaire à Multiple Gestations

Preterm Labour and Premature Rupture of Membranes Mob: 7289915430, www.drprad...
Preterm Labour and Premature Rupture of Membranes Mob: 7289915430, www.drprad...Preterm Labour and Premature Rupture of Membranes Mob: 7289915430, www.drprad...
Preterm Labour and Premature Rupture of Membranes Mob: 7289915430, www.drprad...Pradeep Garg
 
MCDA Twin Pregnancy
MCDA Twin PregnancyMCDA Twin Pregnancy
MCDA Twin Pregnancylimgengyan
 
Multiple pregnancy by dr. poly.
Multiple pregnancy by dr. poly.Multiple pregnancy by dr. poly.
Multiple pregnancy by dr. poly.Poly Begum
 
Multifetal gestation (Dr. Zenebe).ppt
Multifetal gestation (Dr. Zenebe).pptMultifetal gestation (Dr. Zenebe).ppt
Multifetal gestation (Dr. Zenebe).pptsamirich1
 
Prematurity for 4th year med.students
Prematurity for 4th year med.studentsPrematurity for 4th year med.students
Prematurity for 4th year med.studentsDr. Aisha M Elbareg
 
Multiple pregnancy (5)
Multiple pregnancy (5)Multiple pregnancy (5)
Multiple pregnancy (5)Amitndls
 
How to manage Partial or complete mole in one of twin pregnancy?
How to manage Partial or complete mole in one of twin pregnancy?How to manage Partial or complete mole in one of twin pregnancy?
How to manage Partial or complete mole in one of twin pregnancy?Aboubakr Elnashar
 
cerclage for multiple pregnancy
cerclage for multiple pregnancycerclage for multiple pregnancy
cerclage for multiple pregnancyveerendrakumar cm
 
1. recurrent pregnancy loss
1. recurrent pregnancy loss 1. recurrent pregnancy loss
1. recurrent pregnancy loss DrRokeyaBegum
 
Recurrent miscarriage ppt gynae seminar
Recurrent miscarriage ppt gynae seminarRecurrent miscarriage ppt gynae seminar
Recurrent miscarriage ppt gynae seminarobsgynhsnz
 
Fertility Options: IVF Overview
Fertility Options: IVF OverviewFertility Options: IVF Overview
Fertility Options: IVF OverviewMark Perloe
 
SCREENING OF HIGH RISK PREGNANCY NEWER MODALITIES OF_110313.pptx
SCREENING OF HIGH RISK PREGNANCY NEWER MODALITIES OF_110313.pptxSCREENING OF HIGH RISK PREGNANCY NEWER MODALITIES OF_110313.pptx
SCREENING OF HIGH RISK PREGNANCY NEWER MODALITIES OF_110313.pptxRDiJ1
 
Premature Labour
Premature LabourPremature Labour
Premature Labourlimgengyan
 
Multiple pregnancy lecture_r_yan
Multiple pregnancy lecture_r_yanMultiple pregnancy lecture_r_yan
Multiple pregnancy lecture_r_yanRyan Mulyana
 
F.G.R. PANEL DISCUSSION AT FOGSI BOH CONFERENCE
F.G.R. PANEL DISCUSSION AT FOGSI BOH CONFERENCEF.G.R. PANEL DISCUSSION AT FOGSI BOH CONFERENCE
F.G.R. PANEL DISCUSSION AT FOGSI BOH CONFERENCENARENDRA MALHOTRA
 
Controversy and consensus regarding management of recurrent pregnancy loss.pptx
Controversy and consensus regarding management of recurrent pregnancy loss.pptxControversy and consensus regarding management of recurrent pregnancy loss.pptx
Controversy and consensus regarding management of recurrent pregnancy loss.pptxDrRokeyaBegum
 
Recurrent Pregnancy Loss Sharing Personal Experience (10 years)
Recurrent Pregnancy Loss Sharing Personal Experience (10 years) Recurrent Pregnancy Loss Sharing Personal Experience (10 years)
Recurrent Pregnancy Loss Sharing Personal Experience (10 years) Lifecare Centre
 

Similaire à Multiple Gestations (20)

Preterm Labour and Premature Rupture of Membranes Mob: 7289915430, www.drprad...
Preterm Labour and Premature Rupture of Membranes Mob: 7289915430, www.drprad...Preterm Labour and Premature Rupture of Membranes Mob: 7289915430, www.drprad...
Preterm Labour and Premature Rupture of Membranes Mob: 7289915430, www.drprad...
 
MCDA Twin Pregnancy
MCDA Twin PregnancyMCDA Twin Pregnancy
MCDA Twin Pregnancy
 
Multiple pregnancy by dr. poly.
Multiple pregnancy by dr. poly.Multiple pregnancy by dr. poly.
Multiple pregnancy by dr. poly.
 
Multifetal gestation (Dr. Zenebe).ppt
Multifetal gestation (Dr. Zenebe).pptMultifetal gestation (Dr. Zenebe).ppt
Multifetal gestation (Dr. Zenebe).ppt
 
Prematurity for 4th year med.students
Prematurity for 4th year med.studentsPrematurity for 4th year med.students
Prematurity for 4th year med.students
 
Multiple pregnancy (5)
Multiple pregnancy (5)Multiple pregnancy (5)
Multiple pregnancy (5)
 
How to manage Partial or complete mole in one of twin pregnancy?
How to manage Partial or complete mole in one of twin pregnancy?How to manage Partial or complete mole in one of twin pregnancy?
How to manage Partial or complete mole in one of twin pregnancy?
 
cerclage for multiple pregnancy
cerclage for multiple pregnancycerclage for multiple pregnancy
cerclage for multiple pregnancy
 
ASER 2009
ASER 2009ASER 2009
ASER 2009
 
Preterm labor by audace
Preterm labor by audacePreterm labor by audace
Preterm labor by audace
 
1. recurrent pregnancy loss
1. recurrent pregnancy loss 1. recurrent pregnancy loss
1. recurrent pregnancy loss
 
Recurrent miscarriage ppt gynae seminar
Recurrent miscarriage ppt gynae seminarRecurrent miscarriage ppt gynae seminar
Recurrent miscarriage ppt gynae seminar
 
Fertility Options: IVF Overview
Fertility Options: IVF OverviewFertility Options: IVF Overview
Fertility Options: IVF Overview
 
SCREENING OF HIGH RISK PREGNANCY NEWER MODALITIES OF_110313.pptx
SCREENING OF HIGH RISK PREGNANCY NEWER MODALITIES OF_110313.pptxSCREENING OF HIGH RISK PREGNANCY NEWER MODALITIES OF_110313.pptx
SCREENING OF HIGH RISK PREGNANCY NEWER MODALITIES OF_110313.pptx
 
Premature Labour
Premature LabourPremature Labour
Premature Labour
 
Multiple pregnancy lecture_r_yan
Multiple pregnancy lecture_r_yanMultiple pregnancy lecture_r_yan
Multiple pregnancy lecture_r_yan
 
F.G.R. PANEL DISCUSSION AT FOGSI BOH CONFERENCE
F.G.R. PANEL DISCUSSION AT FOGSI BOH CONFERENCEF.G.R. PANEL DISCUSSION AT FOGSI BOH CONFERENCE
F.G.R. PANEL DISCUSSION AT FOGSI BOH CONFERENCE
 
Preterm Labor by Yinka Oyelese
Preterm Labor by Yinka OyelesePreterm Labor by Yinka Oyelese
Preterm Labor by Yinka Oyelese
 
Controversy and consensus regarding management of recurrent pregnancy loss.pptx
Controversy and consensus regarding management of recurrent pregnancy loss.pptxControversy and consensus regarding management of recurrent pregnancy loss.pptx
Controversy and consensus regarding management of recurrent pregnancy loss.pptx
 
Recurrent Pregnancy Loss Sharing Personal Experience (10 years)
Recurrent Pregnancy Loss Sharing Personal Experience (10 years) Recurrent Pregnancy Loss Sharing Personal Experience (10 years)
Recurrent Pregnancy Loss Sharing Personal Experience (10 years)
 

Plus de Clinton Pong

Serious skin signs in sick patients fitzpatrick
Serious skin signs in sick patients fitzpatrickSerious skin signs in sick patients fitzpatrick
Serious skin signs in sick patients fitzpatrickClinton Pong
 
Potency & $ ratings of topical corticosteroids
Potency & $ ratings of topical corticosteroidsPotency & $ ratings of topical corticosteroids
Potency & $ ratings of topical corticosteroidsClinton Pong
 
Most common derm lesions ddx sx-to-dx stern
Most common derm lesions ddx sx-to-dx sternMost common derm lesions ddx sx-to-dx stern
Most common derm lesions ddx sx-to-dx sternClinton Pong
 
R3 derm jeopardy q&a
R3 derm jeopardy q&aR3 derm jeopardy q&a
R3 derm jeopardy q&aClinton Pong
 
R3 dermatology jeopardy orientation
R3 dermatology jeopardy orientationR3 dermatology jeopardy orientation
R3 dermatology jeopardy orientationClinton Pong
 
Risk communication workshop
Risk communication workshopRisk communication workshop
Risk communication workshopClinton Pong
 
Painful peripheral neuropathy
Painful peripheral neuropathyPainful peripheral neuropathy
Painful peripheral neuropathyClinton Pong
 
Adolescent social media -- Medical perspective
Adolescent social media -- Medical perspectiveAdolescent social media -- Medical perspective
Adolescent social media -- Medical perspectiveClinton Pong
 
Differential diagnosis
Differential diagnosisDifferential diagnosis
Differential diagnosisClinton Pong
 
Painful peripheral neuropathy
Painful peripheral neuropathyPainful peripheral neuropathy
Painful peripheral neuropathyClinton Pong
 
Diabetes Beyond Hyperglycemia
Diabetes Beyond HyperglycemiaDiabetes Beyond Hyperglycemia
Diabetes Beyond HyperglycemiaClinton Pong
 
Differential Diagnosis Generation
Differential Diagnosis GenerationDifferential Diagnosis Generation
Differential Diagnosis GenerationClinton Pong
 
ACTIVE-A and W trials
ACTIVE-A and W trialsACTIVE-A and W trials
ACTIVE-A and W trialsClinton Pong
 
CAT ASCOT Atenolol and NOD
CAT ASCOT Atenolol and NODCAT ASCOT Atenolol and NOD
CAT ASCOT Atenolol and NODClinton Pong
 
Cervical Cancer Screening
Cervical Cancer ScreeningCervical Cancer Screening
Cervical Cancer ScreeningClinton Pong
 

Plus de Clinton Pong (18)

Serious skin signs in sick patients fitzpatrick
Serious skin signs in sick patients fitzpatrickSerious skin signs in sick patients fitzpatrick
Serious skin signs in sick patients fitzpatrick
 
Potency & $ ratings of topical corticosteroids
Potency & $ ratings of topical corticosteroidsPotency & $ ratings of topical corticosteroids
Potency & $ ratings of topical corticosteroids
 
Most common derm lesions ddx sx-to-dx stern
Most common derm lesions ddx sx-to-dx sternMost common derm lesions ddx sx-to-dx stern
Most common derm lesions ddx sx-to-dx stern
 
R3 derm jeopardy q&a
R3 derm jeopardy q&aR3 derm jeopardy q&a
R3 derm jeopardy q&a
 
R3 dermatology jeopardy orientation
R3 dermatology jeopardy orientationR3 dermatology jeopardy orientation
R3 dermatology jeopardy orientation
 
Risk communication workshop
Risk communication workshopRisk communication workshop
Risk communication workshop
 
Painful peripheral neuropathy
Painful peripheral neuropathyPainful peripheral neuropathy
Painful peripheral neuropathy
 
Htn and jnc8
Htn and jnc8Htn and jnc8
Htn and jnc8
 
Adolescent social media -- Medical perspective
Adolescent social media -- Medical perspectiveAdolescent social media -- Medical perspective
Adolescent social media -- Medical perspective
 
Differential diagnosis
Differential diagnosisDifferential diagnosis
Differential diagnosis
 
Painful peripheral neuropathy
Painful peripheral neuropathyPainful peripheral neuropathy
Painful peripheral neuropathy
 
Diabetes Beyond Hyperglycemia
Diabetes Beyond HyperglycemiaDiabetes Beyond Hyperglycemia
Diabetes Beyond Hyperglycemia
 
Differential Diagnosis Generation
Differential Diagnosis GenerationDifferential Diagnosis Generation
Differential Diagnosis Generation
 
ACTIVE-A and W trials
ACTIVE-A and W trialsACTIVE-A and W trials
ACTIVE-A and W trials
 
CAT Template
CAT TemplateCAT Template
CAT Template
 
CAT ASCOT Atenolol and NOD
CAT ASCOT Atenolol and NODCAT ASCOT Atenolol and NOD
CAT ASCOT Atenolol and NOD
 
Cervical Cancer Screening
Cervical Cancer ScreeningCervical Cancer Screening
Cervical Cancer Screening
 
Leiomyoma
LeiomyomaLeiomyoma
Leiomyoma
 

Dernier

南新罕布什尔大学毕业证学位证成绩单-学历认证
南新罕布什尔大学毕业证学位证成绩单-学历认证南新罕布什尔大学毕业证学位证成绩单-学历认证
南新罕布什尔大学毕业证学位证成绩单-学历认证kbdhl05e
 
（南达科他州立大学毕业证学位证成绩单-永久存档）
（南达科他州立大学毕业证学位证成绩单-永久存档）（南达科他州立大学毕业证学位证成绩单-永久存档）
（南达科他州立大学毕业证学位证成绩单-永久存档）oannq
 
Module-2-Lesson-2-COMMUNICATION-AIDS-AND-STRATEGIES-USING-TOOLS-OF-TECHNOLOGY...
Module-2-Lesson-2-COMMUNICATION-AIDS-AND-STRATEGIES-USING-TOOLS-OF-TECHNOLOGY...Module-2-Lesson-2-COMMUNICATION-AIDS-AND-STRATEGIES-USING-TOOLS-OF-TECHNOLOGY...
Module-2-Lesson-2-COMMUNICATION-AIDS-AND-STRATEGIES-USING-TOOLS-OF-TECHNOLOGY...JeylaisaManabat1
 
Authentic No 1 Amil Baba In Pakistan Amil Baba In Faisalabad Amil Baba In Kar...
Authentic No 1 Amil Baba In Pakistan Amil Baba In Faisalabad Amil Baba In Kar...Authentic No 1 Amil Baba In Pakistan Amil Baba In Faisalabad Amil Baba In Kar...
Authentic No 1 Amil Baba In Pakistan Amil Baba In Faisalabad Amil Baba In Kar...Authentic No 1 Amil Baba In Pakistan
 
Inspiring Through Words Power of Inspiration.pptx
Inspiring Through Words Power of Inspiration.pptxInspiring Through Words Power of Inspiration.pptx
Inspiring Through Words Power of Inspiration.pptxShubham Rawat
 
E J Waggoner against Kellogg's Pantheism 8.pptx
E J Waggoner against Kellogg's Pantheism 8.pptxE J Waggoner against Kellogg's Pantheism 8.pptx
E J Waggoner against Kellogg's Pantheism 8.pptxJackieSparrow3
 

Dernier (6)

南新罕布什尔大学毕业证学位证成绩单-学历认证
南新罕布什尔大学毕业证学位证成绩单-学历认证南新罕布什尔大学毕业证学位证成绩单-学历认证
南新罕布什尔大学毕业证学位证成绩单-学历认证
 
（南达科他州立大学毕业证学位证成绩单-永久存档）
（南达科他州立大学毕业证学位证成绩单-永久存档）（南达科他州立大学毕业证学位证成绩单-永久存档）
（南达科他州立大学毕业证学位证成绩单-永久存档）
 
Module-2-Lesson-2-COMMUNICATION-AIDS-AND-STRATEGIES-USING-TOOLS-OF-TECHNOLOGY...
Module-2-Lesson-2-COMMUNICATION-AIDS-AND-STRATEGIES-USING-TOOLS-OF-TECHNOLOGY...Module-2-Lesson-2-COMMUNICATION-AIDS-AND-STRATEGIES-USING-TOOLS-OF-TECHNOLOGY...
Module-2-Lesson-2-COMMUNICATION-AIDS-AND-STRATEGIES-USING-TOOLS-OF-TECHNOLOGY...
 
Authentic No 1 Amil Baba In Pakistan Amil Baba In Faisalabad Amil Baba In Kar...
Authentic No 1 Amil Baba In Pakistan Amil Baba In Faisalabad Amil Baba In Kar...Authentic No 1 Amil Baba In Pakistan Amil Baba In Faisalabad Amil Baba In Kar...
Authentic No 1 Amil Baba In Pakistan Amil Baba In Faisalabad Amil Baba In Kar...
 
Inspiring Through Words Power of Inspiration.pptx
Inspiring Through Words Power of Inspiration.pptxInspiring Through Words Power of Inspiration.pptx
Inspiring Through Words Power of Inspiration.pptx
 
E J Waggoner against Kellogg's Pantheism 8.pptx
E J Waggoner against Kellogg's Pantheism 8.pptxE J Waggoner against Kellogg's Pantheism 8.pptx
E J Waggoner against Kellogg's Pantheism 8.pptx
 

Multiple Gestations

  • 1.
  • 2. Incidence is increasing! Inc 65% for twins Inc 500% for triplets+ Multifetal gestation = only 3% of total births, but >20% of complications like PTD, LBW, VLBW babies
  • 3. On average… Twins deliver @ 35+2wk Triplets deliver @ 32+1wk BUT The lowest mortality for: Twins = 38 wk Triplets = 35 wk
  • 4.
  • 5.
  • 6.
  • 7. Etiology: Dizygotic Ultrasound image of "twin-peak" sign showing an extension of placental tissue into the intertwin membrane, confirming dichorionic twinning. 2/3 of all twins Diamniotic/dichorionic
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. When do you deliver twins?
  • 16.
  • 17.