Timing

The antepartum stillbirth rate in twins exceeds that of singletons, both per fetus and, in particular, per pregnancy. Thus while awaiting the results of a randomized trial in progress [58], it seems prudent to recommend elective delivery at 37—38 weeks when neonatal morbidity is lowest. The large rise in stillbirths seen in population data at 38 weeks is artifactual, reflecting gestational age at delivery not at intrauterine death. There is an argument for delivering MC twins earlier, based on their high rate of unexplained death rate in utero and the desire to avoid the consequences of fetal death to its co-twin. Twins are not a contraindication to induction [59].

Was this article helpful?

0 0
Pregnancy Diet Plan

Pregnancy Diet Plan

The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.

Get My Free Ebook


Post a comment