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Controversial Issues in the Management of Multiple Pregnancies

Published online by Cambridge University Press:  21 February 2012

Isaac Blickstein
Isaac Blickstein*
Affiliation:
Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, Israel (affiliated with the Hadassah-Hebrew University School of Medicine, Jerusalem). blick@netvision.net.il
*
*Address for correspondence: Isaac Blickstein, MD, Dept. of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, Israel.

Abstract

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The management of multiple pregnancies represents a true challenge for all sub-specialties concerned with perinatal medicine. Many issues were neglected over the years merely because they were rare and therefore considered not sufficiently important to merit clinical trials. This paper discusses a personal selection of controversial issues, such as multifetal pregnancy reduction of triplets and twins, special cases in multifetal preganncy reduction, need for invasive genetic studies, management of twin-twin transfusion, discordant fetal conditions, the definition of “term” in multiples, and the controversy about the mode of delivery.

Type
Festschrift
Information
Twin Research and Human Genetics , Volume 4 , Issue 3 , 01 June 2001 , pp. 165 - 167
Copyright
Copyright © Cambridge University Press 2001