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A 29-Year-Old Woman, Gravida 2 Para 1, at 12 Weeks

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A 29-year-old woman, gravida 2 para 1, at 12 weeks gestation comes to the office for an initial prenatal visit.  The patient has had no nausea, abdominal pain, or vaginal bleeding.  Her first pregnancy ended in an operative vaginal delivery after induction of labor at 42 weeks gestation.  She has no chronic medical conditions and has had no surgeries.  The patient takes a daily prenatal vitamin and does not use tobacco, alcohol, or illicit drugs.  Blood pressure is 118/74 mm Hg and pulse is 76/min.  BMI is 27 kg/m2.  The uterine fundus is 2 cm below the umbilicus.  Pelvic examination is normal.  Ultrasound shows an intrauterine 12-week twin gestation with 2 posterior-fundal placentas.  The fetal heart rates are normal.  Compared to patients with singleton gestations, this patient is at increased risk for which of the following obstetric-related complications?

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Definitions:

Cost Of Goods Manufactured

The total expense incurred to produce products during a specific period, including costs of raw materials, labor, and manufacturing overhead.

Cost Of Goods Sold

The total cost directly linked to the production or acquisition of the goods sold by a company.

Raw Materials Inventory

This represents the total cost of all materials that are not yet processed and used in the production of goods.

Factory Depreciation

A method of allocating the cost of a tangible asset over its useful life, specific to equipment and buildings used in manufacturing.

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