Main description:

This book provides a comprehensive update on the management of multiple pregnancy, which is becoming more common, and is associated with increased maternal and perinatal mortality and morbidity. Offering a practical guide and a wealth of videos, images and illustrations, the book will help clinicians to feel more confident when caring for women with multiple pregnancy.

Its main objectives are:

To increase the level of knowledge of healthcare professionals involved in the care of these women;

To update their knowledge in keeping with the recommendations of the latest national and international guidelines; and

To promote a multidisciplinary approach to the management of women with multiple pregnancy.

Contents:

Section I Biology: Zygocity and chorionicity OR Biology and genetics of dizygotic and monozygotic twinning.- The vanishing twin.- Genomic studies of complex traits: the value of twins.- Placentation in multiple pregnancy.- 'Omic' twin studies.- Section I Epidemiology: Epidemiology of twins and multiple pregnancy.- Assisted conception and multiple pregnancy.- Emerging methods in twin research.- Section III Antenatal Care in twins and multiple pregnancy: Dating of the pregnancy (determining the gestational age).- Determining chorionicity and amnionicity.- Twin labelling, timing, frequency and content of ultrasound assessment.- Prenatal screening for and diagnosis of aneuploidy.- Screening for structural abnormalities.- Assessment of fetal growth in twins and multiple pregnancy.- Section IV Prenatal complications in multiple pregnancy: Twin pregnancies discordant for fetal anomaly.- Fetal reduction/selective termination in uncomplicated twins and multiple pregnancy.- Preterm birth in twins and multiple pregnancy.- Fetal growth restriction.- Stillbirth and single inutero death .- Section V Complications unique to monochorionic twin pregnancies: Twin to twin transfusion syndrome.- Twin anaemia polycythaemia sequence.- Twin reversed arterial perfusion sequence.- Monochorionic monoamniotic twin pregnancy.- Diagnosis and management of conjoined twins.- Section VI Peripartum care: Timing of birth in uncomplicated twin pregnancy.- Mode of delivery in twin pregnancy and delivery of the second twin.- Analgesia and anaesthetic consideration.- Postpartum hemorrhage and maternal morbidity in multiple pregnancy.- Section VII Postnatal care: Breast feeding twins and multiples.- Postpartum depression and psychiatric considerations.- Postnatal neonatal assessment in multiple pregnancy.- Support after single loss in twin and multiple pregnancy.- Section VIII Childhood development: Cerebral palsy and neurodevelopmental delay in multiple pregnancy.- Long term follow-up: indications and methodology.- Neuroimaging & the brain; the role of twin studies.- Section IX Research, registries and Parent views: Research studies in twins and multiple pregnancy (Global Twins and Multiples Priority Setting Partnership).- Twin and multiple pregnancy registries.- Twin and multiple pregnancy: patient voice.