MANAGEMENT OF PREGNANCY AND DELIVERY IN MULTIPLE PREGNANCY

Management of Multiple Pregnancy and Breech Delivery

Laparoscopic Management of Heterotopic Interstitial Pregnancy with Subsequent Term Delivery

A 35 year-old woman at 7-week gestational age was referred to our hospital. The patient was diagnosed with the heterotopic interstitial pregnancy by transvaginal ultrasonography after receiving in vitro fertilization (IVF) and embryo transfer. Laparoscopic excision and curettage was successfully performed at 8.4-gestational age under general anesthesia and the patient was discharged 2 days afte...

Ethical Aspects of Multiple Pregnancy

The rate of multiple pregnancy has dramatically increased during the past decades, along with the diffusion of assisted reproduction technology (ART). Multiple pregnancy entail an increased risk of, at times life threatening, maternal complications i.e. pre-eclampsia, eclampsia or abruptio placenta, of serious neonatal hazards, i.e. extreme prematurity or growth retardation, as well as deleteri...

Controversies in management of multiple pregnancy

Twin pregnancies are at increased risk of complications than singletons1, 2. These complications can develop throughout gestation and pose greater risk to both mother and babies. Early pregnancy scanning enables accurate pregnancy dating, determination of chorionicity, labelling and possible risk prediction in monochorionic twin pregnancies3-7. This article focuses mainly on controversies in sc...

Legal Aspects of Iatrogenic Multiple Pregnancy

During Assisted Reproductive Technology (ART) procedures, the transfer of a single embryo dramatically reduces the rate of multiple pregnancy. Proper information, therefore, should be delivered to patients before embryo transfer. In many countries, regulations limit, according to age of the patient, the number of embryos to be transferred. Selective fetal reduction should not be considered as a...