Question

1. Teresa is a 36-year-old primigravida who is expecting twins. She is 26 weeks pregnant. She stays after your “What to Expect with Twins” class to talk to you. Although Teresa is a nurse, she has many questions and concerns. Her twins are a result of years of trying to get pregnant and in vitro fertilization. She is nervous about whether she will have a vaginal delivery or a cesarean section. She is worried about having the babies prematurely. She wants you to tell her everything that could go wrong so she can be prepared. (Learning Objectives 1 and 2)

Why is Teresa’s pregnancy considered a high-risk pregnancy?

Discuss potential pregnancy-related complications for Teresa.

Discuss the potential risks to the babies.

Answer 1

Why is Teresa’s pregnancy considered a high-risk pregnancy?

Teresa,s pregnancy is considered as high risk due to:

• Age above 35 years
• Twin pregnancy

Discuss potential pregnancy-related complications for Teresa.

It includes:

• Gestational hypertension
• Preeclampsia
• Gestational Diabetics
• Early Miscarriages
• premature labour and birth

Discuss the potential risks to the babies.

• IUGR(intra uterine growth retardation)
• Twin to twin transfusion syndromes-It can happen to identical twins who are monochorionic when some the blood connections in the placenta is shared by both the baby.One baby will get more blood and act as a recipient and the other will be a donor and getting anemic.
• still birth