DOI: https://doi.org/10.30841/2307-5112.1.2018.136318

Multiple pregnancy in contemporary obstetrics (Review of the literature)

А. В. Ткаченко

Abstract


The aim of this review was to study, analyze and summurise the data of world literature and our own scientific achievements in the problem of multiple pregnancy, antenatal care for women with twins, perinatal care of fetuses, rational approaches to the tactics and the method of delivery of such patients in particular. The results of literature overview of multicentered clinical trials and their meta-analysis in the leading professional scientific resorces about frequency and prevalence of the most common obstetrical, perinatal and neonatal complications in multiple pregnancies, as well as existing methods of their prognosis, diagnosis, prevention and treatment were studied. The implementation of these data and evidence based clinical approaches with proven efficacy in management of women with multiple pregnancy will help to reduce the rate of obstetrical complications, its severity, and may improve perinatal outcomes as the main goal.

Keywords


multiple pregnancy; twin pregnancy; obstetrical complications; perinatal factors; functional diagnostic of the fetal wellbeing

References


Наказ МОЗ України № 205 від 08.04.2015 р. «Про затвердження Порядку надання медичної допомоги жінкам з багатоплідною вагітністю». http://zakon3.rada.gov.ua/laws/show/z0501-15

Чернуха ЕА. Родовой блок. – М.: Триада-Х, 2005. – 353 с.

Kamat S, Veena P, Rani R. Comparison of nifedipine and progesterone for maintenance tocolysis after arrested preterm labour. J Obstet Gynaecol. 2014; 34 (4): 322–5. https://doi.org/10.3109/01443615.2013.874407

Rode L, Tabor A. Prevention of preterm delivery in twin pregnancy. Best Pract Res Clin Obstet Gynaecol. 2014; 28 (2): 273–83. https://doi.org/10.1016/j.bpobgyn.2013.11.002

Shek NW, Hillman SC, Kilby MD. Single-twin demise: pregnancy outcome. Best Pract Res Clin Obstet Gynaecol. 2014; 28 (2): 249–63. https://doi.org/10.1016/j.bpobgyn.2013.11.003

Yamasmit W, Chaithongwongwatthana S, Tolosa JE, Limpongsanurak S, Pereira L, Lumbiganon P. Prophylactic oral betamimetics for reducing preterm birth in women with a twin pregnancy. Cochrane Database Syst Rev. 2012; 9: CD004733. https://doi.org/10.1002/14651858.CD004733.pub4

Roberts D, Dalziel S. Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth. Cochrane Database Syst Rev. 2006; (3): CD004454. https://doi.org/10.1002/14651858.CD004454.pub2

Lasswell SM, Barfield WD, Rochat RW, Blackmon L. Perinatal regionalization for very low-birth-weight and very preterm infants: a metaanalysis. JAMA. 2010; 304(9): 992–1000. https://doi.org/10.1001/jama.2010.1226

Catalano LN, Villar Diaz M, Vázquez Guzmán M, Negron I, Rivera Rosa E. Pregnancy outcomes and successful rate of nifedipine therapeutic protocol implementation in a hospital of San Juan. Bol Asoc Med P R. 2013; 105 (3): 13–6.

Naik Gaunekar N, Raman P, Bain E, Crowther CA. Maintenance therapy with calcium channel blockers for preventing preterm birth after threatened preterm labour. Cochrane Database Syst Rev. 2013; 10: CD004071. https://doi.org/10.1002/14651858.CD004071.pub3

Fuchs F, Audibert F, Senat MV. Progesterone and preterm delivery: back to the future? Gynecol Obstet Fertil. 2014; 42 (2): 112–22. https://doi.org/10.1016/j.gyobfe.2013.12.006

Steen EE, Kallen K, Marsal K, Norman M, Hell-strom-Westas L. Impact of sex on perinatal mortality and morbidity in twins. J Perinat Med. 2014; 42 (2): 225–31. https://doi.org/10.1515/jpm-2013-0147

Dodd JM, Crowther CA, Middleton P. Oral betamimetics for maintenance therapy after threatened preterm labour. Cochrane Database Syst Rev. 2012; 12: CD003927. https://doi.org/10.1002/14651858.CD003927.pub3

Neilson JP, West HM, Dowswell T. Betamimetics for inhibiting preterm labour. Cochrane Database Syst Rev. 2014; 2: CD004352. https://doi.org/10.1002/14651858.CD004352.pub3

Zork N, Biggio J, Tita A, Rouse D, Gyamfi-Ban-nerman C. Decreasing prematurity in twin gestations: predicaments and possibilities. Obstet Gynecol. 2013; 122 (2 Pt 1): 375–9. https://doi.org/10.1097/AOG.0b013e31829b2dba

Mercer BM, Miodovnik M, Thurnau GR, Goldenberg RL, Das AF, Ramsey RD, Rabello YA, Meis PJ, Moawad AH, lams JD, Van Dorsten JP, Paul RH, Bottoms SF, Merenstein G, Thom EA, Roberts JM, McNellis D. Antibiotic therapy for reduction of infant morbidity after preterm premature rupture of the membranes. A randomized controlled trial. National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. JAMA.1997; 278 (12): 989–95.




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ISSN (print): 2307-5112.