Spotlight on… multiple pregnancy

Multiple pregnancy has received increasing attention over the last decade, with National Institute for Health and Care Excellence (NICE) guideline on multiple already in its second edition.1 The first review article about Obstetrician Gynaecologist (TOG) was published 2000 by Taylor Fisk (TOG 2000;2:4–10). Looking again at this seeing photograph of a young Myles (as all TOG articles featured authors’ photos then!) brought back fond (…) memories reading MRCOG examination. It is interesting to compare older 2010 Review Devaseelan Ong 2010;12:179–85). Most aspects care were largely unchanged, but Eurofoetus trial2 had proven that endoscopic laser ablation placental anastomoses treatment choice severe twin-to-twin transfusion syndrome (TTTS). Soon after publication study,2 Smith Denbow wrote comprehensive TTTS 2006;8:1–6) evolving management light landmark trial. complex also been reviewed two Advances fetal therapy 2005 2005;7:183–9) O’Brien Kumar 2010;12:94–102) Morris et al. Monoamniotic twin pregnancies are rare challenging manage. Dias pathophysiology, outcomes these 2012 2012;14:71–8). Even more higher order where one fetus genetic or congenital abnormalities. Beriwal summarised elegantly Multifetal reduction selective termination 2020 2020;22:284–92). Importantly, authors highlighted ethical, legal psychological considerations women, couples doctors difficult cases. Beyond cases mainly managed medicine units, major challenge source neonatal mortality morbidity preterm birth. Effective prevention strategies still not available, most recent evidence finely appraised Murray 2018 2018;20:57–63). For both term births, mode delivery can be decision. Breeze twins 2004 2004;6:222–6). Twin Birth Study since then3 answered some questions safety vaginal birth caesarean section actual depending original intention. Overall, selection pregnancy. As it now 11 years general 2010;12:179–85), perhaps time another up-to-date incorporating latest from Study,3 STOPPIT-2 trial4 other relevant studies.