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Timing of Birth in Uncomplicated Twin Pregnancy

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Twin and Higher-order Pregnancies

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Abstract

Twin pregnancies are at higher risk of perinatal morbidity and mortality. Research has shown that the risk of stillbirth significantly increases before 40 weeks in twins, with a degree of variation between different chorionicity and amnionicity. Antenatal complications that are specific or more prevalent in twin pregnancies can occur, contributing to their increased rates of perinatal loss. National recommendations are now in place based on expert opinions and available evidence, in order to mitigate these risks.

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Key Reading

  • Cheong-See F, Schuit E, Arroyo-Manzano D, Khalil A, Barrett J, Joseph KS, et al. Prospective risk of stillbirth and neonatal complications in twin pregnancies: systematic review and meta-analysis. BMJ. 2016;354:i4353. https://doi.org/10.1136/bmj.i4353.

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    Article  Google Scholar 

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    Article  CAS  Google Scholar 

  • Hack KEA, Derks JB, Elias SG, et al. Perinatal mortality and mode of delivery in monochorionic twin pregnancies ≥32 weeks of gestation: a multicenter retrospective cohort study. BJOG. 2011;118(9):1090–7.

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Author information

Authors and Affiliations

  1. Fetal Medicine Unit, St George’s University Hospitals, London, UK

    Becky Liu & Asma Khalil

  2. Vascular Biology Research Centre, Molecular and Clinical Sciences Research Institute, St George’s University of London, London, UK

    Asma Khalil

Authors
  1. Becky Liu
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  2. Asma Khalil
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Corresponding author

Correspondence to Asma Khalil .

Editor information

Editors and Affiliations

  1. Fetal Medicine Unit, St George’s University Hospitals, NHS Foundation Trust, London, UK

    Asma Khalil

  2. Department of Obstetrics & Gynaecology, University Hospitals Leuven, Leuven, Belgium

    Liesbeth Lewi

  3. Division of Neonatology, Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands

    Enrico Lopriore

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Liu, B., Khalil, A. (2021). Timing of Birth in Uncomplicated Twin Pregnancy. In: Khalil, A., Lewi, L., Lopriore, E. (eds) Twin and Higher-order Pregnancies. Springer, Cham. https://doi.org/10.1007/978-3-030-47652-6_20

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  • DOI: https://doi.org/10.1007/978-3-030-47652-6_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-47651-9

  • Online ISBN: 978-3-030-47652-6

  • eBook Packages: MedicineMedicine (R0)

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