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Multiple pregnancy
Malpresentation Malposition

Dr Chris Griffin
Fetal and Maternal Medicine
Subspecialist
King Edward Memorial Hospital
Multiple Pregnancy
What is main serious complication for multiple
pregnancies
1. Bleeding
2. Blood pressure
3. Pyelonephritis
4. Malpresentation requiring C Section
5. Preterm labour
What is worse malposition or
malpresentation ?
• Which of the following are not increased with
the above
•
•
•
•
•

Elective surgery
Emergency surgery
Third degree tears
Prolonged third stage
Epidural rate
Malposition
• On all fours
• Manual Rotation
Malpresentation
• Cochrane review
Chorionicity

Multiple Pregnancy

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Multiple pregnancy malpresentation malposition