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https://www.ncbi.nlm.nih.gov/books/NBK83107/
Discuss with women with twin and triplet pregnancies the timing of birth and possible modes of delivery ** early in the third trimester. 56: Inform women with twin pregnancies that about 60% of twin pregnancies result in spontaneous birth before 37 weeks 0 days. 57
https://www.uptodate.com/contents/triplet-pregnancy
Triplets and other higher order multiple gestations are associated with significantly increased risks of maternal and neonatal morbidity compared with twin and singleton gestations. The increased neonatal risks are primarily related to iatrogenic or spontaneous preterm birth: the mean gestational age of delivery for triplets, twins, and ...
https://www.nice.org.uk/guidance/ng137/chapter/Recommendations
Trichorionic triamniotic triplets. Each baby has a separate placenta and amniotic sac. ... likely timing of birth (see section 1.9 on timing of birth) and possible modes of birth ... of her risk of postpartum haemorrhage and explain that multiple pregnancy is a risk factor for increased blood loss at delivery. [2019] Management.
https://www.researchgate.net/publication/8677395_Timing_of_Delivery_in_Multiple_Gestation
Timing of Delivery in Multiple Gestation. ... Triplets should be considered postterm at 36 weeks and delivery of triplets should occur by 37 weeks. Prolongation beyond those limits of pregnancy ...
https://www.intechopen.com/books/multiple-pregnancy-new-challenges/quadruplets-and-quintuplets
Women with triplets, quadruplets, and higher order are predisposed to develop pregnancy-associated hypertension and diabetes mellitus (7.68% for twins, 10.32% for triplets, and 11.57% for quadruplets and higher order for hypertension, while for diabetes mellitus the rates were 3.34% for twins, 5.97% for triplets, and 6.75% for quadruplets and ...Author: Stelios Fiorentzis, Styliani Salta, Michail Pargianas, ArtemisPontikaki, Dimitrios P. Koutsoulis, Ch...
https://physicians.utah.edu/echo/pdfs/pregnancy-care-didactics/2015-10-23-twin-pregnancy-timing-of-delivery-sullivan.pdf
0 20,000 40,000 60,000 80,000 100,000 120,000 140,000 1980 1985 1990 1995 2000 2006 number of twin births in the united states 1980-2006 (united states national vital statistics report 2006, vol. 57 #7 )
https://www.parents.com/pregnancy/giving-birth/labor-and-delivery/qa-delivering-triplets/
A planned cesarean section delivery of triplets has probably not even been scheduled yet! Most triplet pregnancies are the result of fertility-enhancing drugs. Powerful medications that cause many ...Author: Elizabeth Stein, CNM
https://tripletsmum.com/story/delivering-triplets/
Jun 21, 2015 · I was advised at the early stages of my triplet pregnancy that the delivery of triplet confinements is generally by caesarean. At 32 weeks, triplet one was in a breech position, while triplets two and three were in a transverse position. Due to their positioning, I truly believe my doctor advised the best delivery procedure for me.
http://www.uptodate.com/contents/twin-pregnancy-labor-and-delivery
This topic will review issues related to the delivery of diamniotic twins, such as timing and route of delivery, fetal monitoring, maternal analgesia/anesthesia, and management of delivery. Antepartum assessment of these pregnancies, newborn care, and issues related to monoamniotic twin pregnancy are discussed separately:
https://www.obgproject.com/2019/01/30/acog-recommendations-when-to-deliver-medically-complicated-pregnancies/
Medically indicated late-preterm delivery should not be delayed for administration of corticosteroids ; Lung maturity testing . Amniocentesis for determination of fetal lung maturity should not be used to guide timing of delivery (even in poorly dated pregnancies) Data are lacking for some conditions, such as dehiscence or chronic abruption
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