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Multiple Pregnancy: An International Perspective

Published online by Cambridge University Press:  01 August 2014

J.J. Sciarra  and
L.G. Keith
J.J. Sciarra*
Affiliation:
Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, Illinois, USA
L.G. Keith
Affiliation:
Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, Illinois, USA
*
Department of Obstetrics and Gynecology, Northwestern University Medical School, 333 East Superior Street, Chicago, IL 60611, USA

Abstract

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This article discusses the following areas of interest related to the obstetric care of multiple pregnancy: 1) methods of diagnosis and ultrasound, 2) pregnancy protection through adequate maternal nutrition, 3) mode of delivery, 4) discordant twins, and 5) assisted reproductive technology. The article also emphasizes the FIGO/WHO concerns regarding safe motherood and proposes a four point program to reduce perinatal death rates in multiple pregnancy. These elements are: 1) adequate primary health care including access to family planning information and technology, 2) prenatal care with referral of high risk patients to specialized centers, 3) the presence of trained personnel for all women in childbirth, 4) effective access to obstetric care for women who are pregnant, giving birth, or recently delivered.

Keywords

Multiple pregnancySafe motherhoodObstetric concernsAccess to care
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 39 , Issue 3 , July 1990 , pp. 353 - 360
Copyright
Copyright © The International Society for Twin Studies 1990

References

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