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English
Cambridge University Press
30 January 2025
Multiple pregnancy affects 0.9-3.1% of births worldwide. Prevalence rates vary significantly due to differences in dizygotic twinning rates and use of assisted reproduction. Both maternal and fetal/neonatal complications are more common in multiple compared to singleton pregnancies, and there are specific problems for the fetuses related to monochorionicity. Multiple pregnancies require specialised and individualised care. Complicated multiple pregnancies should be managed in a tertiary care centre where there is additional expertise, such as the laser ablation needed to treat monochorionic monozygotic pregnancies with conjoined circulations. Cornerstones of management in pregnancy are the need for accurate fetal measurement to optimise dating of gestational age, and documentation of chorionicity. High-level ultrasound expertise is needed. The mothers need frequent assessment to detect hypertension and anemia, and early identification and management of preterm labour.
By:   , , ,
Imprint:   Cambridge University Press
Country of Publication:   United Kingdom
Weight:   205g
ISBN:   9781009526104
ISBN 10:   1009526103
Series:   Elements in High Risk Pregnancy: Management Options
Pages:   134
Publication Date:  
Audience:   General/trade ,  ELT Advanced
Format:   Paperback
Publisher's Status:   Active
Clinical Commentary; 1. Introduction; 2. Risks related to multiple pregnancies; 3. Management Options; 4. Higher order multiples summary; 5. Key references for further reading.

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