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Preterm labour in twin pregnancies: can it be prevented by hospital admission?

C A Crowther1, J P Neilson, D A Verkuyl

  • 1Department of Obstetrics and Gynaecology, Harare Central Hospital, Zimbabwe.

British Journal of Obstetrics and Gynaecology
|July 1, 1989
PubMed

Women attending a twin pregnancy antenatal clinic underwent cervical palpation to calculate a cervical score by subtracting dilatation from length. Those with a score of -2 or less at or before 34 weeks are at especially high risk of preterm labour. A total of 139 such women were randomly allocated either to receive bed-rest in hospital or to continue conventional outpatient management. No beneficial effect of bed-rest could be identified in prolonging twin pregnancy or improving fetal outcome.

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