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[Multiple pregnancies]

J C Pons1

  • 1Service de gynécologie-obstétrique I à orientation obstétricale, Hôpital Cochin-Port-Royal, Paris.

La Revue Du Praticien
|September 15, 1995
PubMed
Summary
This summary is machine-generated.

Multiple pregnancies, often resulting from infertility treatments, present unique obstetric challenges. Improved diagnostic and management strategies have enhanced outcomes for twins and higher-order multiples.

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Area of Science:

  • Perinatology
  • Reproductive Medicine
  • Obstetrics

Context:

  • Infertility treatments have led to an epidemic rise in multiple pregnancies.
  • Managing twins, triplets, and higher-order multiples requires specialized obstetric care.

Purpose:

  • To detail the obstetric management, neonatal outcomes, and follow-up data for women with multiple pregnancies.
  • To highlight the importance of early diagnosis and intervention in multiple gestations.

Summary:

  • The most common complication is preterm labor, with prematurity rates of 50% (twins), 95% (triplets), and 100% (higher-order multiples).
  • Perinatal mortality rates are significant: 20-80/1,000 for twins and 40-250/1,000 for triplets.
  • Key changes include medically assisted procreation, early ultrasound diagnosis, increased cesarean sections, and improved prognoses for premature infants.

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Impact:

  • Advances in diagnosis and management have improved the prognosis for newborns from multiple pregnancies.
  • Data on triplet pregnancies are crucial for considering selective termination options.
  • This study underscores the evolving landscape of multiple gestation care and outcomes.