Contents

Search

multiple gestation (multiple pregnancy)

see pregnancy Etiology: - fertility treatments account for 77% of triplet & higher- order births - most are the result of medically assisted conception Management: - outcomes for vaginal delivery similiar to cesarean section for twins [2] - consider delivery of dichorionic twins at 37 weeks gestation [3] - risk for stillbirth surpasses risk for neonatal death from delivery - consider delivery of monochorionic twins at 36 weeks gestation - risk for stillbirth surpasses risk for neonatal death from delivery, but difference not statistically significant [3]

Specific

papyraceous fetus

General

pregnancy (gestation) clinical laboratory information

References

  1. Barrett JFR et al. A randomized trial of planned cesarean or vaginal delivery for twin pregnancy. N Engl J Med 2013 Oct 3; 369:1295. http://www.nejm.org/doi/full/10.1056/NEJMoa1214939
  2. Kulkarni AD et al. Fertility treatments and multiple births in the United States. N Engl J Med 2013 Dec 5; 369:2218 PMID: 24304051 http://www.nejm.org/doi/full/10.1056/NEJMoa1301467
  3. Cheong-See F, Schuit E, Arroyo-Manzano D et al Prospective risk of stillbirth and neonatal complications in twin pregnancies: systematic review and meta-analysis. BMJ 2016;354:i4353 PMID: 27599496 Free Article http://www.bmj.com/content/354/bmj.i4353