[Management of twin pregnancy].
The epidemic of multiple pregnancies continues albeit in a different form with twin pregnancies predominating. Determination of chorionicity is the key to management and regular monitoring by ultrasound is a hallmark of quality care. All multiple pregnancies should be offered first trimester screening by nuchal translucency for aneuploidy. Monochorial twins should be scanned at fortnightly intervals to allow complications such as twin-twin transfusion or IUGR to be detected and referral made to a fetal medicine centre.
Pons
Jean-Claude
JC
Départment de gynécologie-obstétrique, CHU de Grenoble, 38043 Grenoble. jcpons@chu-grenoble.fr
Hoffmann
Pascale
P
Bringer
Sophie
S
Deutsch
Vincent
V
Lisik
François
F
Schaal
Jean-Patrick
JP
D000782:Aneuploidy; D002823:Chorion / Q000000981:diagnostic imaging; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging; D005317:Fetal Growth Retardation / Q000000981:diagnostic imaging; D005330:Fetofetal Transfusion / Q000000981:diagnostic imaging; D006801:Humans; D048208:Nuchal Translucency Measurement; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control; D011261:Pregnancy Trimester, First; D011272:Pregnancy, Multiple; D047928:Premature Birth / Q000517:prevention & control; D011295:Prenatal Care; D014427:Twins; D016216:Ultrasonography, Prenatal