What you need to know when managing twins: 10 key facts
1Department of Obstetrics and Gynecology, Columbia University Medical Center, 622 West 168th Street, PH-16, New York, NY 10032, USA.
Abstract:
Twin pregnancies can be complicated. Early diagnosis with accurate dating, determination of chorionicity, screening for chromosomal and structural abnormalities, placental evaluation, and cervical length assessment should be completed in the first half of gestation. Routine fetal growth is recommended for all twins with serial surveillance for those complicated by anomalies, cervical shortening, growth disturbances, and amniotic fluid abnormalities. Twins with monochorionic placentation require heightened scrutiny for unequal placental sharing with discordant twin growth or selective intrauterine fetal growth restriction, twin-twin transfusion syndrome, twin anemia-polycythemia sequence, and single-fetal demise. Familiarity with essentials can assist practitioners involved in the management of twins.
More Related Videos
Related Concept Videos
Diabetes Mellitus: Type 2 and Gestational
Ovarian Cycle
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,...
Mitral Valve Prolapse III: Nursing Management
Case Studies
Probability Laws


