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https://www.brighamandwomens.org/obgyn/maternal-fetal-medicine/for-medical-professionals/twin-pregnancy-labor-and-delivery-guidelines-for-medical-professionals
Twin Pregnancy Labor and Delivery Guidelines for Medical Professionals Timing of Admission and Delivery. Below are recommendations regarding the optimum time... Mode of Delivery. A twin gestation in and of itself does not necessitate a cesarean delivery. When to Refer to a Maternal-Fetal Medicine ...
http://apecguidelines.org/wp-content/uploads/2016/07/APEC-TWIN-6-2017.pdf
APEC Guidelines Twin Pregnancy . Alabama Perinatal Excellence Collaborative . This document should not be construed as dictating an exclusive course of treatment or procedure to be followed. Guideline 17, version 3 Page 5 of 6 6/30/2017 • Women with one previous low transverse cesarean delivery, who are otherwise appropriateFile Size: 168KB
https://www.brighamandwomens.org/obgyn/maternal-fetal-medicine/for-medical-professionals/twin-pregnancy-obstetric-care-guidelines
Twin Pregnancy Obstetric Care Guidelines Many aspects of the obstetric management of a twin pregnancy are different than for a singleton pregnancy. Therefore, the maternal-fetal medicine specialists at Brigham and Women’s Hospital (BWH) compiled the following guidelines for the obstetric care of women with twin pregnancies.
https://www.uptodate.com/contents/twin-pregnancy-labor-and-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 in most cases [ 1 ].
http://residents.fammed.org/Manuals/OB%20Book/TWIN%20DELIVERY%20GUIDELINES%202007.pdf
TWIN DELIVERY GUIDELINES The practice of twin deliveries varies widely in different hospitals. It is common in community hospitals to perform Cesarean sections in all but vertex/vertex presentations. However, in tertiary perinatal centers with experienced obstetricians, around the clock availability ofFile Size: 54KB
https://www.seslhd.health.nsw.gov.au/sites/default/files/documents/twinvagbirth.pdf
Inform anaesthetist a twin delivery is occurring Assess epidural effectiveness for second stage of labour Following the birth of the first twin clamp and cut cord but do not deliver the placenta Assess fetal lie of second twin and ask for assistance to stabilise as required
https://www.hopkinsmedicine.org/health/conditions-and-diseases/staying-healthy-during-pregnancy/twin-pregnancy-answers-from-maternal-fetal-medicine-specialist
A little more than half of twin pregnancies end in preterm delivery (before 37 weeks). While 40 weeks is the full gestation period of the average pregnancy, most twin pregnancies are delivered at approximately 36 weeks (range 32-38 weeks depending on the type of twin pregnancy).
https://www.nice.org.uk/guidance/NG137
This guideline covers the care that should be offered to women with a twin or triplet pregnancy in addition to the routine care that is offered to all women during pregnancy. It aims to reduce the risk of complications and improve outcomes for women and their babies.
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