READING : Multiple Gestation

Multiple gestations is conccurent development of two or more embryos in utero. The fertilization of two separate ova results in dyzigotic or fraternal, twins. The fertilization of a single ovum that splits and gives rise two embryos result in monozygotic or identical twins. Concurrent development of more than two fetus involves either or both the fertilization processes. Zygosity is usually established by postpartrum examination of placenta and membrances.
Management of multiple gestations: primarily bed rest aims to delay the onset of labor and the delivery of preterm infants, at least until the fetal lungs have sufficiently matured. Non traumatic delivery of viable infants are of prime concern. Maternal complications include exagerrated discomforts of pregnancy, anemia, hydramnioms, pregnancy induced or pregnancy aggravated hypertension, placenta, previa, abruptio placentae, umbilical cord accidents, preterm delivery with a complicated labor, postpartum hemorrhage, possible coagulopathy and spontaneous abortion and death of the fetus or the mother.
Implications for the fetus include congenital malformation (more common in monozygotic twins), death in utero of one fetus, shunting of blood between palcentas, resctricted intrauterine growth or discordant growth, premature birth and subsequent low birth weight and respiratory impairment.



A.    List Of Vocabularies

•      Gestation : masakehamilan

•      Embryo : janin

•      Fertilization : pembuahan

•      Ovum : telur

•      Monozygotic :

•      Fetus : janin

•      Placenta : ari – ari

•      Infant : bayi / orok

B.    Answer the question from the text above!

1.    What is the meaning of multiple gestation?
2.    What is the difference between monozygotic and dizygotic twins?
3.    What are include in management of multiple gestation?
4.    What is the definition of ( you can use a medical dictionary to answer this questions ) :

1. a.    Hidramnion

1. b.    Placenta previa

1. c.    Abruptio placentae

1. d.   Umbilical cord accidents

1. 5.    What are implications for fetus of multiple gestation?

C.    Tenses

•     Past perfect continuous tense

Untuk menyatakan peristiwa, kegiatan atau tindakan yang sedang berlangsung terus di masa lampau, biasanya dalam jangka waktu tertentu.
Pola Kalimat :
(+) S + had + been + V1-ing
I had been sleeping
(-) S + had not + been + V1-ing
She had not been sleeping
(?) Had + S + been + V1-ing
Had you been sleeping ?