multiple gestation (multiple pregnancy)
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Introduction
see pregnancy
Etiology
- fertility treatments account for 77% of triplet & higher- order births
- most are the result of medically assisted conception
Management
- outcomes for vaginal delivery similiar to cesarean section for twins[2]
- consider delivery of dichorionic twins at 37 weeks gestation[3]
- risk for stillbirth surpasses risk for neonatal death from delivery
- consider delivery of monochorionic twins at 36 weeks gestation
- risk for stillbirth surpasses risk for neonatal death from delivery, but difference not statistically significant[3]
More general terms
More specific terms
References
- ↑ Barrett JFR et al. A randomized trial of planned cesarean or vaginal delivery for twin pregnancy. N Engl J Med 2013 Oct 3; 369:1295. http://www.nejm.org/doi/full/10.1056/NEJMoa1214939
- ↑ 2.0 2.1 Kulkarni AD et al. Fertility treatments and multiple births in the United States. N Engl J Med 2013 Dec 5; 369:2218 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24304051 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMoa1301467
- ↑ 3.0 3.1 3.2 Cheong-See F, Schuit E, Arroyo-Manzano D et al Prospective risk of stillbirth and neonatal complications in twin pregnancies: systematic review and meta-analysis. BMJ 2016;354:i4353 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/27599496 Free Article <Internet> http://www.bmj.com/content/354/bmj.i4353