title: Diagnosis and management of obstetrical complications unique to multiple gestations.
abstract: Obstetrical complications unique to multiple gestations pose a number of unique challenges. The presence of more than one fetus complicates the diagnosis and management of a pregnancy when one fetus has a structural or chromosomal abnormality, intrauterine demise, preterm premature rupture of the membranes, or delivers prematurely. Similarly, the diagnosis and management of monoamniotic twins and conjoined twins is challenging. These obstetrical complications that are unique to multiple gestations require thorough counseling of the expectant parents, as well as care by physicians with expertise in the management of multiple gestations.
authors.affiliation: Department of Obstetrics and Gynecology, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96826, USA. ggraham@hawaii.edu
authors.forename: George M
authors.initials: GM
authors.lastname: Graham
authors.forename: Sreedhar
authors.initials: S
authors.lastname: Gaddipati
mesh_terms: D005260:Female; D005313:Fetal Death; D005315:Fetal Diseases / Q000628:therapy; D005322:Premature Rupture of Fetal Membranes / Q000628:therapy; D006801:Humans; D007752:Obstetric Labor, Premature / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000628:therapy*; D011272:Pregnancy, Multiple; D011296:Prenatal Diagnosis; D014428:Twins, Conjoined; D014429:Twins, Dizygotic; D014430:Twins, Monozygotic