Multiple gestations and preterm birth

  • Fuchs F
  • Senat M
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Abstract

Preterm birth is a major concern in modern obstetrics, and an important source of morbidity and mortality in newborns. Among twin pregnancies, especially, preterm birth is highly prevalent, and it accounts for almost 50% of the complications observed in this obstetrical population. In this article, we review the existing literature regarding the prediction and prevention of preterm birth in both symptomatic and asymptomatic twin pregnancies. In asymptomatic twin pregnancies, the best two predictive tests were cervical length (CL) measurement and cervicovaginal fetal fibronectin (fFN) testing. A single measurement of transvaginal CL at 20-24 weeks of gestation

Author-supplied keywords

  • Cerclage
  • Fetal fibronectin
  • Pessary
  • Preterm birth
  • Progesterone
  • Short cervix

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