nbme 1 question on a twin pregnancy? - genewalking

[ArchivalUser]

the answer choices were b/n preterm delivery, uterine rupture...
does anybody have this q?

[ArchivalUser]

5. A healthy 37-year-old primigravid woman at 12 weeks' gestation comes for a routine prenatalvisit. The pregnancy was achieved by in vitro fertilization. She does not use tobacco, alcohol, ordrugs. She is a hematologist and works 10 to 12 hours daily. Two previous ultrasonographies haveshown a triplet gestation. She weighs 66 kg (145 lb) and is 178 cm (70 in) tall. Her blood pressureis 116/70 mm Hg, and pulse is 72/min. Examination shows a uterus consistent in size with a 16-week gestation. Her pelvis is normal-sized. This patient is at greatest risk for which of the following?
A) Abruptio placentae
B) Hepatitis B
C) HIV infection
D) Preterm labor
E) Uterine ruptur

[ArchivalUser]

thanks so much.

here what i found:
Obstetrical medical care is specific to the type of multifetal pregnancy. The highest risk is in monochorionic/monoamniotic pregnancies. Other conditions have an inherent risk of multiple fetal pregnancies (ie, preterm labor, intrauterine growth retardation [IUGR], hypertensive diseases).

[ArchivalUser]

*source: medscape

[ArchivalUser]

Multiple gestation is associated with higher rates of almost every potential complication of pregnancy, with the exceptions of postterm pregnancy and macrosomia [4,5]. The most serious risk is spontaneous preterm delivery, which plays a major role in the increased perinatal mortality and short-term and long-term morbidity observed in these infants [6]. Higher rates of fetal growth restriction and congenital anomalies also contribute to adverse outcome in twin births. In addition, monochorionic twins are at risk for complications unique to these pregnancies, such as twin-twin transfusion syndrome, which can be lethal or associated with serious morbidity. Appropriate decisions regarding antepartum assessment and delivery are essential to ensure optimal perinatal outcomes.

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