Curriculum of Obstetrics
TOPIC 32
MULTIPLE PREGNANCIES
RATIONALE
There has been an increase in the incidence of multiple pregnancies in modern obstetric practice. Proper diagnosis and management of such cases is of utmost importance because it entails higher incidence of maternal and perinatal complications.
GOAL
Demonstrate familiarity with theories, placentation, complications, diagnosis, and management of multiple pregnancies
LEARNING OBJECTIVES
By the end of this course, the student will be able to:
l State the definition, incidence, and risk factors of multiple pregnancies
l Describe the types of twinning and list the modes of placentation and its time of onset
l Enumerate complications in pregnancy and labor
l Describe the methods of diagnosis during pregnancy and mention the different presentations
l Know the definition, types, and complications of fetal transfusion syndrome and conjoined twins
l Describe the lines of management during pregnancy with details about rest, diet, and tonics
l Recognize a plan for the delivery method
l List indications for cesarean section
l Demonstrate familiarity with the abdominal contour and grips
CONTENT
l Definition and incidence of multiple pregnancies
l Short résumé on conjoined twins and fetal transfusion syndrome
l Biology of twinning
l Methods of diagnosis during pregnancy
l Complications of multiple pregnancies
l Antenatal care
l Management of first, second, and third stages of labor with stress on the increased risk of postpartum hemorrhage and methods of prevention
