Book contents
- Pregnancy Complications
- Pregnancy Complications
- Copyright page
- Contents
- Contributors
- Preface
- Note from the Editor-in-Chief
- Normal Laboratory Values (Conventional Units) []
- Section 1 Antepartum (Early Pregnancy)
- Section 2 Antepartum (Mid-trimester)
- Section 3 Antepartum (Late Pregnancy)
- Section 4 Antepartum (Medical Complications)
- Section 5 Antepartum (Infectious Complications)
- Section 6 Intrapartum/Delivery
- Section 7 Postpartum
- Section 8 Fetal Complications
- Case 74 A 40-Year-Old at 28 Weeks’ Gestation with a Well Dated Pregnancy and a Fundal Height Measuring 24 cm
- Case 75 A 45-Year-Old at 37 Weeks’ Gestation with Gestational Diabetes and an Estimated Fetal Weight of 4,600 g
- Case 76 A 20-Year-Old at 37 Weeks with a Twin Gestation Presents for Delivery Planning
- Case 77 A 25-Year-Old at 18 Weeks’ Gestation Presents with a Monochorionic/Diamniotic Twin Pregnancy
- Case 78 A 25-Year-Old at 22 Weeks’ Gestation with Mild Fetal Renal Pelvis Dilation on an Anatomic Survey Ultrasound
- Section 9 Placental Complications
- Section 10 Complications of the Cord, Amnion, and Gravid Uterus
- Section 11 Psychosocial Considerations
- Index
- References
Case 76 - A 20-Year-Old at 37 Weeks with a Twin Gestation Presents for Delivery Planning
from Section 8 - Fetal Complications
Published online by Cambridge University Press: 08 April 2025
Book contents
- Pregnancy Complications
- Pregnancy Complications
- Copyright page
- Contents
- Contributors
- Preface
- Note from the Editor-in-Chief
- Normal Laboratory Values (Conventional Units) []
- Section 1 Antepartum (Early Pregnancy)
- Section 2 Antepartum (Mid-trimester)
- Section 3 Antepartum (Late Pregnancy)
- Section 4 Antepartum (Medical Complications)
- Section 5 Antepartum (Infectious Complications)
- Section 6 Intrapartum/Delivery
- Section 7 Postpartum
- Section 8 Fetal Complications
- Case 74 A 40-Year-Old at 28 Weeks’ Gestation with a Well Dated Pregnancy and a Fundal Height Measuring 24 cm
- Case 75 A 45-Year-Old at 37 Weeks’ Gestation with Gestational Diabetes and an Estimated Fetal Weight of 4,600 g
- Case 76 A 20-Year-Old at 37 Weeks with a Twin Gestation Presents for Delivery Planning
- Case 77 A 25-Year-Old at 18 Weeks’ Gestation Presents with a Monochorionic/Diamniotic Twin Pregnancy
- Case 78 A 25-Year-Old at 22 Weeks’ Gestation with Mild Fetal Renal Pelvis Dilation on an Anatomic Survey Ultrasound
- Section 9 Placental Complications
- Section 10 Complications of the Cord, Amnion, and Gravid Uterus
- Section 11 Psychosocial Considerations
- Index
- References
Summary
Twin pregnancies are associated with higher risks for both maternal and fetal/neonatal complications. Planning delivery of a twin pregnancy requires knowledge of both placentation (chorionicity/amnionicity) and fetal presentations. For diamniotic twins with a cephalic presenting twin, attempted vaginal delivery provides comparable neonatal outcomes with lower maternal morbidity – vaginal delivery should be offered to these patients. Providers offering vaginal twin delivery should be skilled in both external cephalic version and breech extraction.
- Type
- Chapter
- Information
- Pregnancy ComplicationsA Case-Based Approach, pp. 235 - 237Publisher: Cambridge University PressPrint publication year: 2025
References
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