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  • Title: Multifetal pregnancies.
    Author: Smith-Levitin M, Skupski DW, Chervenak FA.
    Journal: Curr Opin Obstet Gynecol; 1995 Dec; 7(6):465-71. PubMed ID: 8620081.
    Abstract:
    The incidence of multifetal pregnancies has been increasing steadily. Fetal complications such as prematurity, discordant growth, intrauterine fetal demise, twin-twin transfusion, and congenital anomalies account for a large share of perinatal morbidity and mortality. Maternal complications from multiple gestations are also significant. Recent trends in antepartum management such as multifetal pregnancy reduction, specialized prenatal care, and well-timed delivery have improved outcomes. Intrapartum management, including the possibility of asynchronous birth and critical assessment of mode of delivery, has also led to better outcomes. This review provides a brief summary of each of these topics with, a particular focus on the recent literature.
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