What is a common complication of multiple gestation pregnancies?

In multiple gestation pregnancies, the risk of complications increases significantly due to the physiological stress placed on the mother's body and the demands of carrying more than one fetus. Each of the complications listed is associated with multiple gestation, making the option that includes all of them the most accurate choice.

Preeclampsia is a condition characterized by high blood pressure and often a significant amount of protein in the urine, which can occur more frequently in women carrying multiple babies due to the increased workload on the cardiovascular system.

Gestational diabetes is another complication that can arise during pregnancy, and the risk is heightened in multiple gestations. The presence of multiple placentas and higher levels of hormones can lead to insulin resistance.

Premature labor is also a major concern; the body may trigger labor earlier than usual due to the increased uterine stretching and the heightened hormonal changes associated with multiple fetuses.

Thus, all these complications—preeclampsia, gestational diabetes, and premature labor—are indeed common in multiple gestation pregnancies, making the comprehensive choice that includes them all the correct answer.