Preterm labor in twins and high-order multiples
1Phoenix Perinatal Associates, a Division of Obstetrix Medical Group of Phoenix, AZ 85006, USA. John_elliott@obstetrix.com
Preterm labor (PTL) is common in multiple gestations. Management of patients includes attempts at prevention of PTL, acute tocolysis when PTL is diagnosed, and long-term maintenance tocolysis. Clinical therapeutics should be aggressively directed at minimizing the background uterine contractions to reduce the incidence of PTL and to provide a greater chance of suppressing PTL allowing delivery at the ideal gestational age.
Preterm labor (PTL) is common in multiple gestations. Management of patients includes attempts at prevention of PTL, acute tocolysis when PTL is diagnosed, and long-term maintenance tocolysis. Clinical therapeutics should be aggressively directed at minimizing the background uterine contractions to reduce the incidence of PTL and to provide a greater chance of suppressing PTL allowing delivery at the ideal gestational age.
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