Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 3 , ISSUE 3 ( July-September, 2009 ) > List of Articles

REVIEW ARTICLE

Management of Multiple Pregnancy

Joachim W Dudenhausen

Keywords : Multiples,prematurity,IUGR,ultrasound

Citation Information : Dudenhausen JW. Management of Multiple Pregnancy. Donald School J Ultrasound Obstet Gynecol 2009; 3 (3):45-50.

DOI: 10.5005/jp-journals-10009-1020

License: CC BY-NC 4.0

Published Online: 00-09-2009

Copyright Statement:  Copyright © 2009; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

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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