Which of the following is NOT listed as a complication of thalassemia in pregnancy?

• A. GDM
• B. Placental abruption
• C. Hypertension
• D. Hyperlipidemia

Answer: (D)

The important idea here is that thalassemia in pregnancy carries specific maternal risks related to anemia and iron overload, which can affect organ systems and placental function. Among the recognized complications for a pregnant person with thalassemia are gestational diabetes mellitus, placental abruption, and hypertensive disorders. Hyperlipidemia is not typically listed as a complication directly associated with thalassemia in pregnancy. So the option about hyperlipidemia is the one that doesn’t fit with the commonly described thalassemia-associated pregnancy complications. If lipid issues arise, they’re managed like any other hyperlipidemia case and aren’t considered a specific pregnancy complication of thalassemia.