MCQ 18 In multiple pregnancy,the most important complication is:

A:Post Partum hemorrhage
B.Interlocking
C.Cord prolapse
D.Fetus papyraceous

The correct answer is A:Post Partum hemorrhage

Postpartum hemorrhage is the real danger in multiple pregnancy.It is due to :

• i)Atony of the uterine muscle due to overdistension of the uterus
• ii)A longer time taken by the big placenta to separate
• iii)Bigger surface area of the placenta exposing more uterine sinuses
• iv)Implantation of a part of placenta in the lower segment which is less retractile