gynecology and obstetrics
Multifetal Pregnancy
Key Points
In multifetal pregnancies, the overdistended uterus tends to stimulate preterm labor, resulting in preterm delivery. Check for other possible complications, such as preeclampsia and gestational diabetes, and prepare for preterm delivery, cesarean delivery, and postpartum hemorrhage. If the uterus is large for gestational age, do ultrasonography. For most multifetal pregnancies, deliver by cesarean unless the presenting twin is in vertex presentation. 