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Multiple pregnancy: an international perspective
1Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, Illinois.
Acta Geneticae Medicae Et Gemellologiae
|January 1, 1990
Summary
This article reviews multiple pregnancy obstetric care, including diagnosis, nutrition, delivery, and assisted reproductive technology. It proposes a four-point program to reduce perinatal mortality in multiple pregnancies.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- Multiple pregnancies present unique obstetric challenges.
- High perinatal mortality rates are associated with multiple gestations.
- Current obstetric care guidelines require comprehensive review for multiple pregnancies.
Purpose of the Study:
- To discuss key aspects of obstetric care for multiple pregnancies.
- To highlight concerns regarding safe motherhood in multiple gestations.
- To propose a program aimed at reducing perinatal death rates.
Main Methods:
- Review of diagnostic methods including ultrasound.
- Discussion of nutritional support for maternal health.
- Analysis of delivery modes and management of discordant twins.
- Consideration of assisted reproductive technology's role.
Main Results:
- Key areas of obstetric care for multiple pregnancies identified.
- Emphasis on FIGO/WHO safe motherhood initiatives.
- A four-point program proposed for reducing perinatal mortality.
Conclusions:
- Comprehensive obstetric care, including prenatal and primary healthcare, is crucial.
- Specialized centers and trained personnel are vital for high-risk multiple pregnancies.
- Effective access to obstetric care can significantly improve outcomes.