Multifetal pregnancies are associated with a considerable increase in the risk of fetal and infant morbidity and mortality. The risk of stillbirth is increased about 5 times and that of neonatal death is increased sevenfold, which could largely be attributed to complications of prematurity. Multifetal gestation is also tied to increased risk of fetal anomalies, gestational diabetes and preeclampsia.
A literature search was conducted to identify relevant publications between January 1990 and October 2013 in order to review the problems and complications linked with twin, triplet, and higher-order multifetal gestations and put forward an evidence-based management strategy. The key recommendations and conclusions from the American College of Obstetricians and Gynecologists are summarized here:
Good, consistent scientific evidence (Level A)
Limited/inconsistent scientific evidence (Level B)
Based on consensus and expert opinion (Level C)
Source: American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Obstetrics, Society for Maternal-Fetal Medicine. Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies: ACOG Practice Bulletin, Number 231. Obstet Gynecol. 2021 Jun 1;137(6):e145-e162.
Subscribe To Our Newsletter
Filter out the noise and nurture your inbox with health and wellness advice that's inclusive and rooted in medical expertise.
Medtalks is India's fastest growing Healthcare Learning and Patient Education Platform designed and developed to help doctors and other medical professionals to cater educational and training needs and to discover, discuss and learn the latest and best practices across 100+ medical specialties. Also find India Healthcare Latest Health News & Updates on the India Healthcare at Medtalks
Please update your details