FALSE about maternal adaptation in multiple pregnancy compared to that in singleton pregnancy is?
Twin pregnancy is associated with higher serum b- hCG levels & hence have nausea and vomiting in excess of that with a singleton pregnancy Although red cell mass increases in multiple gestation but this increase is propoionately less compared to singleton pregnancy. This combined with greater iron and folate requirements , predisposes to anemia more likely than in singleton pregnancy
Greater maternal blood volume expansion
Propoionately more red cell mass increase along with fluid increase and hence similar Hb pattern as singleton pregnancy
Higher incidence of Hyperemesis in twins
Higher blood volume expansion in twins
Twin Pregnancy, Molar Pregnancy, Gestational Trophoblastic disease and contraception in special situations (Sour Grapes!)