title: Multifetal pregnancies.
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.
authors.affiliation: Department of Obstetrics and Gynecology, New York Hospital-Cornell Medical Center, New York, USA.
authors.forename: M
authors.initials: M
authors.lastname: Smith-Levitin
authors.forename: D W
authors.initials: DW
authors.lastname: Skupski
authors.forename: F A
authors.initials: FA
authors.lastname: Chervenak
mesh_terms: D005260:Female; D005315:Fetal Diseases / Q000453:epidemiology / Q000517:prevention & control*; D006801:Humans; D007744:Obstetric Labor Complications / Q000517:prevention & control; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000517:prevention & control*; D011272:Pregnancy, Multiple; D011295:Prenatal Care