MANAGEMENT OF PREGNANCY AND DELIVERY IN MULTIPLE PREGNANCY

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Abstract

The problem of multiple pregnancy management is of scientific and pragmatic interest, because in the last years, there is an increase of numbers of multiple pregnancies, especially due to wider use of assisted reproductive technologies. As a female organism has been evolutionally adapted to carriage of a single fetus, the multiple pregnancy is a classic model of fetoplacental insufficiency. Multiple pregnancy is a high risk pregnancy, with a high percentage of preterm deliveries, high perinatal mortality and infant morbidity. In pregnancy with two and more fetuses a certain observational algorithm is necessary that would allow timely performing of diagnostic and treatment activities, as well as taking adequante strategic decisions to ensure prolongation of pregnancy. The review deals with literature data summarizing a many years’ international experience of management of women with multiple pregnancies, as well as the results of the author’s own studies.

About the authors

V. I. Krasnopol'skiy

Moscow Regional Scientific Research Institute for Obstetrics and Gynecology

Email: fake@neicon.ru

MD, PhD, Academician of Russian Academy of Sciences, Director

Russian Federation

S. V. Novikova

Moscow Regional Scientific Research Institute for Obstetrics and Gynecology

Author for correspondence.
Email: sv_novikova@list.ru

MD, PhD, Head of Observational Obstetric Department

Russian Federation

E. B. Tsivtsivadze

Moscow Regional Scientific Research Institute for Obstetrics and Gynecology

Email: fake@neicon.ru

PhD, Research Fellow, Observational Obstetric Department

Russian Federation

A. A. Zharova

Moscow Regional Scientific Research Institute for Obstetrics and Gynecology

Email: fake@neicon.ru

PhD, Junior Research Fellow, Observational Obstetric Department

Russian Federation

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Copyright (c) 2015 Krasnopol'skiy V.I., Novikova S.V., Tsivtsivadze E.B., Zharova A.A.

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