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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.nice.org.uk/guidance/ng137/chapter/Recommendations
1.9.2 Explain to women with a triplet pregnancy that about 75 in 100 triplet pregnancies result in spontaneous birth before 35 weeks. [2019] 1.9.3 Explain to women with a twin or triplet pregnancy that spontaneous preterm birth and planned preterm birth are associated with an increased risk of admission to a neonatal unit. [2019]
https://www.uptodate.com/contents/triplet-pregnancy
Vintzileos AM, Ananth CV, Kontopoulos E, Smulian JC. Mode of delivery and risk of stillbirth and infant mortality in triplet gestations: United States, 1995 through 1998. Am J Obstet Gynecol 2005; 192:464. Lappen JR, Hackney DN, Bailit JL. Maternal and neonatal outcomes of attempted vaginal compared with planned cesarean delivery in triplet ...
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
https://emedicine.medscape.com/article/1618038-treatment
Mar 09, 2016 · For twin pregnancies, this occurs at approximately 38 weeks’ gestation and for triplets it occurs at 35 weeks’ gestation. Timing of delivery has not been well established in higher order multiples and therefore should be individualized. Prospective evidence regarding optimal timing …
https://www.researchgate.net/publication/8677395_Timing_of_Delivery_in_Multiple_Gestation
Timing of Delivery in Multiple Gestation. ... Evidence-based triplet delivery: Avoiding rocks and hard places. ... Optimal delivery timing at 37 to 38 weeks' gestation.
https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0047703/
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.
https://www.uptodate.com/contents/twin-pregnancy-labor-and-delivery#!
timing of delivery Uncomplicated twin pregnancies — The optimum time to deliver uncomplicated twin pregnancies depends on chorionicity and amnionicity. However, spontaneous or medically indicated preterm birth complicates over 50 percent of twin pregnancies; thus, scheduling the timing of delivery is not at the discretion of the obstetrician ...
https://www.mdedge.com/obgyn/article/64842/obstetrics/elective-delivery-37-weeks-gestation-safe-uncomplicated-twin
An important consideration is the association between elective cesarean delivery and neonatal respiratory disorders, which has been noted in twins 3 as well as in singletons. 4 Therefore, unless there is an indication for earlier delivery, it may be reasonable to await scheduled cesarean delivery at 38 weeks.
https://www.smfm.org/publications/95-timing-of-indicated-late-preterm-and-early-term-birth
The goal of the workshop was to synthesize the available information regarding conditions that may result in medically indicated late-preterm and early-term births to determine the potential risks and benefits of delivery compared with continued pregnancy, determine the optimal gestational age for delivery of affected pregnancies when possible ...
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