Controversies in management of multiple pregnancy

Controversies in management of multiple pregnancy

Twin pregnancies are at increased risk of complications than singletons1, 2. These complications can develop throughout gestation and pose greater risk to both mother and babies. Early pregnancy scanning enables accurate pregnancy dating, determination of chorionicity, labelling and possible risk prediction in monochorionic twin pregnancies3-7. This article focuses mainly on controversies in sc...

Pregnancy and diabetes management: advances and controversies.

BACKGROUND The treatment of diabetes in pregnancy has potentially far-reaching benefits for both pregnant women with diabetes and their children and may provide a cost-effective approach to the prevention of obesity, type 2 diabetes mellitus, and metabolic syndrome. Early and accurate diagnosis of diabetes in pregnancy is necessary for optimizing maternal and fetal outcomes. CONTENT Optimal c...

Controversies and problems in the current management of tubal pregnancy.

The two main conservative treatment alternatives for tubal pregnancy, methotrexate administration and laparoscopic salpingostomy are under constant review. Recently, expectant management of tubal pregnancy has become increasingly popular. In this review, we assess the outcome of conservative management modalities for extrauterine pregnancy and compare the results of treatment with methotrexate ...

Ethical Aspects of Multiple Pregnancy

The rate of multiple pregnancy has dramatically increased during the past decades, along with the diffusion of assisted reproduction technology (ART). Multiple pregnancy entail an increased risk of, at times life threatening, maternal complications i.e. pre-eclampsia, eclampsia or abruptio placenta, of serious neonatal hazards, i.e. extreme prematurity or growth retardation, as well as deleteri...

Management of Multiple Pregnancy and Breech Delivery