Antenatal fetal surveillance in multiple pregnancies
Dick Oepkes1, Marieke Sueters1
1Department of Obstetrics, Leiden University Medical Centre, Leiden, The Netherlands.
Best Practice & Research. Clinical Obstetrics & Gynaecology
|November 30, 2016
Summary
Early detection and specialized management of multiple pregnancies are crucial for reducing complications. Determining chorionicity early and utilizing ultrasound and Doppler are key for optimal antenatal care.
Area of Science:
- Maternal-fetal medicine
- High-risk obstetrics
Background:
- Multiple pregnancies occur in 1-3% of gestations, increasing risks for mother and fetuses.
- Timely detection and management of complications are vital to prevent adverse outcomes.
Purpose of the Study:
- To summarize best practices in the antenatal management of multiple pregnancies.
- To highlight the importance of early chorionicity determination and specialized care.
Main Methods:
- Focus on the role of ultrasound and Doppler in surveillance.
- Emphasizes the need for specialized clinics and experienced healthcare providers.
Main Results:
- Early determination of chorionicity is essential for risk stratification.
- Monochorionic/monoamniotic pregnancies require specific, enhanced surveillance.
Conclusions:
- Referral to specialized clinics improves management of multiple pregnancies.
- Ultrasound and Doppler are indispensable tools for antenatal monitoring and care.
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