This chapter discusses the unique considerations of multiple gestation compared to singleton pregnancies. It discusses the effects on the cardiovascular and pulmonary changes of pregnancy.
KeywordsEffects of multiple gestation on cardiovascular changes of pregnancy Effects of multiple gestation on pulmonary changes of pregnancy Uterine atony risk in multiple gestation Postpartum hemorrhage risk in multiple gestation Uterine distention
Exaggerated cardiovascular and pulmonary changes of pregnancy
Increased risk of uterine atony and postpartum hemorrhage due to greater uterine distention, necessitating large-bore IV access prior to delivery
Increased risk of aortocaval compression and hypotension
Greater O2 consumption and decreased FRC compared to singleton pregnancies