OBJECTIVE To evaluate the insulin requirements in women with type 1 diabetes during twin pregnancy compared with singleton pregnancy. RESEARCH DESIGN AND METHODS At 8, 14, 21, 27, and 33 gestational weeks, insulin requirements and HbA(1c) were compared between 15 twin pregnant women from 2000 to 2011 and 108 singleton pregnant women from 2004 to 2006. RESULTS In twin pregnancies, the weekly...

Advanced abdominal pregnancies with live twin fetuses are extremely rare and are misdiagnosed in up to 60% of the cases. Such a case is presented here, highlighting the diagnostic and management challenges encountered. A high index of suspicion in making the diagnosis of this rare variety of ectopic pregnancy, emphasizing adherence to basic imaging principles, and appropriate placental manageme...

BACKGROUND Necrotizing Enterocolitis (NEC) is the most common gastrointestinal emergency in neonates. Previously established risk factors for the development of NEC include prematurity and low birth weight. However, it is not clear to date as to whether the etiology of NEC is due to host, environmental, or yet other unknown factors. We analyzed the differences in incidence of NEC in twin pregna...

Spontaneous quadruplet is rarely seen. Quadruplet pregnancy is accompanied with severe complications such as abortion , premature labor , first trimester vaginal bleeding , anemia and …etc . Our patient was a 29- year old lady with history of first pregnancy twin that was aborted. In the second pregnancy at three months of gestation sonography showed quadruplet pregnancy so cerclage was perfo...