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Tshililo John Mashamba

Sefako Makgatho Health Science University, South Africa

Title: Types of multiple pregnancy and complications

Abstract

Multiple pregnancy refers to a pregnancy with more than one embryo. The implantation site may be in different part of the female genital organs and even outside the uterus. If one ovum is fertilized and then divides into 2 embryos is called monozygotic pregnancy while the results of separate embryos fertilized is referred to dizygotic pregnancy. The dizygotic multiple pregnancy may implant at separate sites where one is intrauterine and the other extrauterine referred to heterotopic pregnancy. The incidence of heterotopic pregnancy poses a challenge in diagnosis and management. The incidence of multiple pregnancy is increasing with use of assisted reproductive technology. The rarity of spontaneous multiple pregnancy indicates that the human female uterus is programmed to carry one fetus. There are structural abnormalities of the female genital tract that contributes to different types with associated challenges in the diagnosis. Complications are related from space available for the fetuses and miscarriages. Monozygotic multiple pregnancy has unique complications associated with congenital anomalies from vascular to structural and discordant growths.

Biography

Tshililo Mashamba is the head of Department of Obstetrics and Gynaecology at the Sefko Makgatho Health Sciences University, South Africa. He is a member of SASOG, ESHRE, ASRM and Aspire. He has presented locally and internationally. Contributes to undergraduate books for training. He is quality assurer for maternal death in Gauteng province. Has 14 publications under his name. Aspiring for more international collaboration with the department.