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Updated: Oct 22, 2025

Comprehensive Evaluation of the Effectiveness and Safety of Placenta-Targeted Drug Delivery Using Three Complementary Methods
09:04

Comprehensive Evaluation of the Effectiveness and Safety of Placenta-Targeted Drug Delivery Using Three Complementary Methods

Published on: September 10, 2018

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Mode of delivery in multiple pregnancies.

Amir Aviram1, Jon F R Barrett1, Nir Melamed1

  • 1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada (Drs Aviram and Melamed); Department of Obstetrics and Gynaecology, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada (Drs Aviram, Melamed, and Mei-Dan); Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada (Dr Barrett); Department of Obstetrics and Gynaecology, North York General Hospital, Toronto, Ontario, Canada (Dr Mei-Dan).

American Journal of Obstetrics & Gynecology MFM
|August 28, 2021
PubMed
Summary

Evidence-based guidelines for twin delivery are emerging, supporting trial of labor for dichorionic or monochorionic twins at ≥32 weeks. Specific gestational ages are recommended based on chorionicity, with cesarean delivery for breech presentation or higher-order multiples.

Keywords:
cesarean deliverymode of deliverymultiple pregnancypresentationtrial of vaginal delivery

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