Risks and challenges in multiple pregnancy

Authors

  • Aditi Agarwal Department of Obstetrics and Gynaecology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
  • Arti Sharma Department of Obstetrics and Gynaecology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
  • Neeta Bansal Department of Obstetrics and Gynaecology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
  • Neha Panwar Department of Obstetrics and Gynaecology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
  • Shweta Singh Department of Obstetrics and Gynaecology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
  • Swati Kohli Department of Obstetrics and Gynaecology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20214666

Keywords:

Multifetal pregnancies, Congenital malformations, MCMA twin pregnancy

Abstract

Because of breakthroughs in reproductive medicine, multiple pregnancies have become more common in the industrialized world. As a result, obstetric care for women with multiple pregnancies and neonatal care for the same has become more demanding. Multifetal pregnancies are linked to an elevated risk for both the mother and child. There is increased incidence of obstetric complications such as spontaneous abortion, hypertensive disorders, placenta previa, and fetal malformations. Perinatal outcome is also affected which is attributable to increased incidence of fetal complications like prematurity, congenital malformations, growth discordance and cord accidents. We are presenting 2 cases, one of MCMA twin pregnancy with fetal congenital anomaly and another of a triplet pregnancy and their perinatal outcomes.

Author Biography

Aditi Agarwal, Department of Obstetrics and Gynaecology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India

JUNIOR RESIDENT (THIRD YEAR), DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY, SHRI GURU RAM RAI INSTITUTE OF MEDICAL AND HEALTH SCIENCE, PATEL NAGAR, DEHRADUN, UTTARAKHAND

References

Cordero L, Franco A, Joy SD. Monochorionic Monoamniotic twins: neonatal outcome. J Perinatol. 2006;26:170-5.

Benson RC. Current Obstetric and Gynaecologic Diagnosis and Treatment. 4th ed, Lange Medical Publications; California: Multiple pregnancy. 1982;755-63.

Levene MI, Wild J, Steer P. Higher multiple births and the modern management of infertility in Britain. Br J Obstet Gynaecol. 1992;99:607-13.

Benirschke K. The biology of twinning process: how placentation influences outcome. Semin Perinatol. 1995;19:342-50.

Carr SR, Aranson MP, Coustan DR. Survival rates of monoamniotic twins do not decrease after 30 weeks gestation. Am J Obstet Gynecol. 1993;168:601-4.

Santema JG, Bourdrez P, Wallenburg HCS. Maternal and perinatal complications in triplet compared with twin pregnancy. Eur J Obstetr Gynecol Reproduct Biol. 1995;60(2):143-7.

Glinianaia SV, Rankin J, Khalil A, Binder J, Waring G, Sturgiss SN, Hannon T. Prevalence, antenatal management and perinatal outcomes of monochorionic monoamniotic twin pregnancies: a collaborative multicentre study in England, 2000-2013. Ultrasound in Obstetr Gynecol. 2018.

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Published

2021-11-25

Issue

Section

Case Reports