Multiple Gestation

  • Cassandra Wasson
  • Albert Kelly
  • David Ninan
  • Quy Tran


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.


Effects 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 
  1. 1.

    Exaggerated cardiovascular and pulmonary changes of pregnancy

  2. 2.

    Increased risk of uterine atony and postpartum hemorrhage due to greater uterine distention, necessitating large-bore IV access prior to delivery

  3. 3.

    Increased risk of aortocaval compression and hypotension

  4. 4.

    Greater O2 consumption and decreased FRC compared to singleton pregnancies


Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Cassandra Wasson
    • 1
  • Albert Kelly
    • 1
  • David Ninan
    • 2
  • Quy Tran
    • 3
  1. 1.Riverside University Health System - Medical CenterMoreno ValleyUSA
  2. 2.Riverside University Health System - Medical CenterLoma LindaUSA
  3. 3.Harbor–UCLA Medical CenterTorranceUSA

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