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USS
Breech-Breech( 10%)
Usually by CS.
Perinatal Outcome
PNMR is 5 times that of singleton (30-50/1000
births).
RDS accounts for 50% 0f PNMR.2nd twin is
more affected.
Birth truma . 2ND twin is 4 times affected than
1st .
Incidence of SB is twice that of singleton.
Perinatal Outcome
Congenital anomalies is responsible for 15%
of PNMR.
Cerebral hemorrage and birth asphyxia are
responsible for 10% of PNMR.
Cerebral palsy is 4 times that of singleton .
50% of twins babies are borne with low
birth(<2500 gms.) from prematurity & IUGR.
INTRAUTERINE DFATH OF ONE
TWIN
Early in pregnancy usually no risk.