Journal club MCQ Feburary 2019

Perinatal mortality, timing of delivery and prenatal management of monoamniotic twin pregnancy

Learning objectives

Upon completion of this activity, the participant will be better able to:

·         List the complications of MCMA twin pregnancies.

·         Discuss the limitations of current management of MCMA twin pregnancies.

·         Debate the common practice to deliver MCMA twins between 32 and 34 weeks.

Question Title

* 1. The following studies were excluded from the meta-analysis :

a. Studies including cases with fetal anomaly.

b. Studies with a small number of cases.

c. Retrospective non-randomized studies.

d. Studies published after 2000.

Question Title

* 2. Intrauterine death was defined as:

a. Death of both fetuses from 30 weeks of gestation.

b. Fetal demise in the second trimester.

c. Fetal demise in the first trimester.

d. Fetal demise from 24 weeks of gestation.

Question Title

* 3. The incidence of IUD in MCMA twin pregnancies managed as inpatients:

a. Was higher than that of patients managed as outpatients.

b. Was similar to that of patients managed as outpatients.

c. Was lower than that of patients managed as outpatients.

d. Was not addressed in the study.

Question Title

* 4. The incidence of perinatal mortality in MCMA twin pregnancies:

a. Increases with gestational age and can mainly be attributed to identifiable causes.

b. Is higher at 33-34 weeks compared to 31–32 weeks and is mainly unexpected.

c. Decreases after 32 weeks of gestation and can mainly be attributed to identifiable causes.

d. Is constant throughout the third trimester and is mainly unexpected.