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Multiple gestations and late preterm (near-term) deliveries.
Young Mi Lee1, Jane Cleary-Goldman, Mary E D'Alton
1Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Columbia University Medical Center, New York, NY 10032, USA. ym12102@columbia.edu
Seminars in Perinatology
|May 30, 2006
Summary
Multiple gestations pose unique challenges, often leading to late preterm deliveries. This review examines impacts on perinatal outcomes and strategies for prevention and intervention in twin and high-order pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Perinatology
- Maternal-Fetal Medicine
Background:
- Multiple gestations, including twin and high-order pregnancies, are increasingly common.
- These pregnancies present unique obstetric challenges and are frequently associated with preterm birth.
- Late preterm deliveries (34-37 weeks) are common due to preterm labor or complications.
Purpose of the Study:
- To analyze the impact of multiple pregnancies on perinatal outcomes.
- To review current strategies for preventing preterm labor in multiple gestations.
- To summarize indications for medically indicated late preterm delivery.
Main Methods:
- This is a review article.
- It synthesizes existing literature on multiple gestations and preterm birth.
- It incorporates findings from a 2005 workshop by the National Institute of Child Health and Human Development.
Main Results:
- Multiple pregnancies significantly impact perinatal outcomes.
- Preterm labor and delivery are common complications.
- Specific interventions and delivery timing strategies are crucial.
Conclusions:
- Managing multiple gestations requires careful consideration of preterm birth risks.
- Preventive strategies and timely interventions are key to optimizing perinatal outcomes.
- Understanding indications for late preterm delivery is essential for obstetricians.