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Management of twin pregnancy--for the prevention of preterm delivery

From a retrospective analysis of 38 consecutive cases of twins the authors have reached a conclusion that in the management of twins the following policy is applicable: 1. For every pregnancy, a routine ultrasonic examination should be done for the detection of twin earlier than 20 weeks of gestation. 2. Elective hospitalization or bed rest at home should be advised from a period of 30 weeks of gestation. 3. After 32 weeks of gestation, an increased antenatal assessment (including serial ultrasonography) and biophysical monitoring (such as simultaneous NST) should be done.

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