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Multifetal pregnancies

M Smith-Levitin1, D W Skupski, F A Chervenak

  • 1Department of Obstetrics and Gynecology, New York Hospital-Cornell Medical Center, New York, USA.

Current Opinion in Obstetrics & Gynecology
|December 1, 1995
PubMed
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Multifetal pregnancies are increasing, posing risks like prematurity and twin-twin transfusion. Improved antepartum and intrapartum management strategies enhance outcomes for both fetuses and mothers.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Maternal-Fetal Medicine

Background:

  • The incidence of multifetal pregnancies is rising globally.
  • These pregnancies are associated with significant fetal and maternal complications, contributing to perinatal morbidity and mortality.
  • Complications include prematurity, discordant growth, intrauterine fetal demise, twin-twin transfusion syndrome, and congenital anomalies.

Purpose of the Study:

  • To review recent advancements in the management of multifetal pregnancies.
  • To summarize current trends in antepartum and intrapartum care.
  • To highlight strategies improving outcomes in multiple gestations.

Main Methods:

  • Literature review focusing on recent publications.
  • Synthesis of data on fetal and maternal complications.

Related Experiment Videos

  • Analysis of management strategies in antepartum and intrapartum care.

    • Main Results:

    • Advances in multifetal pregnancy reduction have improved fetal survival rates.
    • Specialized prenatal care and optimized delivery timing enhance outcomes.
    • Improved intrapartum management, including asynchronous birth and careful mode of delivery assessment, reduces perinatal risks.

    Conclusions:

    • Modern antepartum and intrapartum management significantly improves outcomes in multifetal pregnancies.
    • Continued research and application of evidence-based practices are crucial.
    • Multifetal pregnancy management requires a multidisciplinary approach.