Evidence-based care of women with a multiple pregnancy

dc.contributor.authorDodd, J.
dc.contributor.authorCrowther, C.
dc.date.issued2005
dc.descriptionCopyright © 2004 Elsevier Ltd All rights reserved.
dc.description.abstractWomen with a multiple pregnancy face greater risks for themselves and their infants than women pregnant with one child. Pre-pregnancy care should focus on avoiding multiple pregnancy. Early prenatal care centres on determining chorionicity and screening for fetal anomalies, with later care focusing on the presentation, prediction and management of preterm birth, and intrauterine growth restriction. The optimal timing and mode of birth are the focus of current multicentre, randomised, controlled trials. However, the data from such trials on care for women with a multiple pregnancy are limited. Many areas of care require better-quality information, including when using assisted reproductive techniques, the optimal number of embryos to be transferred, care after the diagnosis of chorionicity, and the benefits of specialised multiple pregnancy clinics. Better-quality information is required to inform clinical practice for women with complications of multiple pregnancy, including monoamniotic twin pregnancy, treatment of twin-to-twin transfusion syndrome, and care following single intrauterine fetal death.
dc.description.urihttp://www.elsevier.com/wps/find/journaldescription.cws_home/623004/description#description
dc.identifier.citationBest Practice and Research: Clinical Obstetrics and Gynaecology, 2005; 19(1):131-153
dc.identifier.doi10.1016/j.bpobgyn.2004.11.004
dc.identifier.issn1521-6934
dc.identifier.issn1532-1932
dc.identifier.orcidDodd, J. [0000-0002-6363-4874]
dc.identifier.orcidCrowther, C. [0000-0002-9079-4451]
dc.identifier.urihttp://hdl.handle.net/2440/17239
dc.language.isoen
dc.publisherBailliere Tindall
dc.source.urihttps://doi.org/10.1016/j.bpobgyn.2004.11.004
dc.subjectbest evidence
dc.subjectmeta-analysis
dc.subjectmultiple pregnancy
dc.subjectrandomised controlled trials
dc.subjectsystematic review
dc.titleEvidence-based care of women with a multiple pregnancy
dc.typeJournal article
pubs.publication-statusPublished

Files