Which of the following is a recognised maternal complication of multiple pregnancy?

Answer: E. Increased risk of pregnancy-induced hypertension, anaemia, polyhydramnios, gestational diabetes and postpartum haemorrhage

Maternal complications of multiple pregnancy

Multiple pregnancy increases maternal risks because of the greater physiological demand and uterine distension.

Recognised maternal complications

• Hyperemesis gravidarum.
• Anaemia.
• Pregnancy-induced hypertension (PIH)/pre-eclampsia.
• Polyhydramnios.
• Antepartum haemorrhage and placenta praevia.
• Gestational diabetes.
• Postpartum haemorrhage (over-distended uterus -> atony).

Why E

It lists the increased maternal risks (PIH, anaemia, polyhydramnios, GDM, PPH).

Why the others are wrong

Multiple pregnancy increases (not reduces) the risks of anaemia, pre-eclampsia, PPH and gestational diabetes.