Changing delivery age and successes in reproductive have medicine induced an increase in incidence of the multiples in the industrialized world.
Methods
Selective literature research was performed complemented by the autor's clinical experience and national and international guidelines
Results
The risks of prematurity, IUGR, and antenatal demise are raised. Maternal risks are pre-eclampsia, diabetes, and bleeding during delivery. Prenatal and genetic diagnostics including ultrasonography are the most important methods of supervision during pregnancy. These are significant for diagnosis of twin-to-twin transfusion syndrome and cygosity.
Consequences
Cooperation betweeen prenatal medicine, obstetrics and neonatology is important for the care of mothers with multiples.
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