Correct antepartum management of multifetal gestations is a critical skill for practitioners of obstetrics. This article reviews important issues surrounding these complicated pregnancies while discussing current management options and recommendations. Topics include antepartum surveillance, preterm labor prediction, diagnosis, and management, and special situations unique to multiple gestation...

Multifetal gestations are high-risk pregnancies involving higher perinatal morbidity and mortality, and are subject to unique complications including twin oligohydramnios-polyhydramnios sequence, twin-to-twin transfusion syndrome, acardiac twins, conjoined twins, co-twin demise, and heterotopic pregnancies. The purpose of this study is to describe the prenatal ultrasonographic and pathologic fi...

Pregnancies complicated by midtrimester painless cervical dilation are known to have associations with preterm birth. In situations where fetal amniotic membranes are exposed, the risk of perinatal morbidity and mortality increases dramatically in this particularly high-risk population. Multifetal gestations further increase the risk of preterm birth, yet there remains a paucity of data support...

background: the outcomes of such pregnancies have been rarely evaluated in our country. a descriptive study was planned to assess the health and condition of neonates conceived with assisted techniques in a one year period. materials and methods: at royan institute, tehran, 443 women who became pregnant by one of the assisted techniques in vitro fertilization (ivf), intrauterine insemination (i...

The objective of this study was to describe current obstetric, neonatal, and long-term neurodevelopmental outcomes of higher order multifetal gestations (> or = 3 fetuses) in the 1990s. We also intended to identify a target gestational age at which neonatal and neurodevelopmental morbidities are low. Records from all multifetal pregnancies (> or = 3 viable fetuses > or = 20 weeks gestation) del...

Over the past 25 years the rate of twin and higher - order multifetal birth have increased between 1980 and 2005. The twining rate rose from 18.9 to 32.1 per 1000 live birth. Multifetal gestations are at high risk of fetaland complication such as; growth restricted fetal death, LBW and cerebral palasy. Maternal complication are that also increased such as: preeclampsia, diabetes, maternal death...

The incidence of multifetal pregnancies has increased dramatically over the past two decades, mainly because of the widespread use of ovulation induction agents and assisted reproduction techniques. These techniques have been a matter of concern since twin and higher order pregnancies have long been associated with an increased risk of maternal complications as well as a high prevalence of pren...

The incidence of multifetal pregnancies has increased dramatically over the past two decades, mainly because of the widespread use of ovulation induction agents and assisted reproduction techniques. These techniques have been a matter of concern since twin and higher order pregnancies have long been associated with an increased risk of maternal complications as well as a high prevalence of pren...

The incidence of multifetal pregnancies has increased dramatically over the past two decades, mainly because of the widespread use of ovulation induction agents and assisted reproduction techniques. These techniques have been a matter of concern since twin and higher order pregnancies have long been associated with an increased risk of maternal complications as well as a high prevalence of pren...

OBJECTIVE To modify the technique of multifetal pregnancy reduction and to study the outcome of reduced twins in comparison with nonreduced twins and high-order multiple gestations. DESIGN Prospective controlled study. SETTING The Egyptian IVF-ET Center, Cairo. PATIENT(S) Seventy-five patients with high-order multiple pregnancies resulting from assisted reproduction. Controls were 40 nonr...