Controversial issues in the management of multiple pregnancies.
The management of multiple pregnancies represents a true challenge for all sub-specialties concerned with perinatal medicine. Many issues were neglected over the years merely because they were rare and therefore considered not sufficiently important to merit clinical trials. This paper discusses a personal selection of controversial issues, such as multifetal pregnancy reduction of triplets and twins, special cases in multifetal pregnancy reduction, need for invasive genetic studies, management of twin-twin transfusion, discordant fetal conditions, the definition of "term" in multiples, and the controversy about the mode of delivery.
Blickstein
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Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, Israel. blick@netvision.net.il
D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D018607:Pregnancy Reduction, Multifetal / Q000523:psychology / Q000592:standards; D011272:Pregnancy, Multiple; D011295:Prenatal Care / Q000592:standards / Q000639:trends; D011639:Public Opinion; D014310:Triplets; D014427:Twins