[Management of uncomplicated dichorionic twin pregnancy]
1Hôpital Antoine-Béclère, AP-HP, Service de gynécologie-obstétrique, 157, rue de la Porte-de-Trivaux, 92140 Clamart, France. olivier.picone@abc.aphp.fr
Objectives:
To determine clinical recommendations for the management of uncomplicated dichorionic twin pregnancies.
Method:
Articles were searched using PubMed, Embase and Cochrane library.
Results:
High level studies are rare. However, it is clear that dichorionic twin pregnancies are at risk for maternal or obstetrical complications as diabetes, preeclampsia and intra uterine growth restriction. Therefore, a specific follow up is recommended.
Conclusions:
A monthly clinical and ultrasound survey is recommended. The best time to deliver is between 38 and 40 weeks. Further studies are necessary to determine the best way to manage dichorionic twin pregnancies.
Related Concept Videos
Mitral Valve Prolapse III: Nursing Management
Diabetes Mellitus: Type 2 and Gestational
Pathophysiology of Diabetes
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility, suggesting a...
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Dysrhythmias VII: Nursing Management of Dysrhythmias
Fetal Circulation
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...

