TwinningAge determination&
Prenatal Diagnosis
Twinning
Multiple births
Twin
Triplet
Quad
etc
Types
Dizygotic
F~
Monozygotic
I~
Types
Dizygotic
Bichorial, Biamniotic
Monozygotic
Bichorial, Biamniotic -?
Monochorial, Biamniotic - ?
Monochorial, Monoamniotic -?
Problems
Partial separation
Craniopagus
Thoracopagus
~pagus
Age Determination
1st Trimester
CRL-?
2nd Trimester
BPD - ?
Head circumference
3rd Trimester
FL - ?
FL - ?
Teratology
1st Trimester Defects
Exposure ?- severity
Timing
Dosage
Specificity
Mechanism
Structural
Cleft lip
ASD
PDA
Congenital Anomalies
2nd & 3rd Trimester
Structural
Thalidomide
Functional
Metabolic syndromes
Congenital Anomalies
2nd & 3rd Trimester
Deformation
Clubfoot
Disruption
Amniotic Band syndromes
Dysplasia
Achondroplasia
Causes
Genetic
Drugs
Infection
Maternal
Substance abuse
Prenatal Diagnosis
For ?
Genetic
Chromosomal
Structural
Prenatal Diagnosis
USS
Amniocentesis
Chorionic Villus
MRI
Foetoscopy
Cordocentesis
α – fetoprotien assay
Maternal screening
?