Ultrasound Examination and Management of Twin Pregnancy
Chaveeva, P.; Dimitrov, I.; Yankova, M.; Stratieva, V.; Dimitrov, T.; Shterev, A.
Akusherstvo i Ginekologiia 55(6): 19-25
2016
ISSN/ISBN: 0324-0959 PMID: 29370502 Document Number: 689226
Twin pregnancies are found in about 3 % of all pregnancies and 2/3 are dizygotic and 1/3 are monozygotic. In the last 30 years after the introduction of assisted conception and increasing maternal age the rate of twin pregnancies dramatically increased. Compared to singletons, twins have more complications such as intrauterine demise, intrauterine selective fetal growth reStriction, congenital anomalies, miscarriage and preterm labour. Monochorionic twins are at high risk for unique complications because of blood exchange through vascular communications in the shared placenta. Twin pregnancies should be considered as a high risk pregnancies and the well-being of the two fetuses should be taken into account with a strict protocol for follow up and management options. Ultrasound examination olavs a maior role in fetal surveillance.