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Prenatal Cardiology

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Preterm Delivery of Twins

Birgit Arabin
  • Corresponding author
  • Clara Angela Foundation, Witten and Berlin, Germany, 2Center for Mother and Child University of Marburg, Germany
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Published Online: 2015-12-30 | DOI: https://doi.org/10.12847/09141

Abstract

The incidence of twin gestation has increased over the past decades and contributes to an increased rate of spontaneous preterm birth and increased mortality and morbidity up to adult age. Prevention of spontaneous preterm birth in twin pregnancies differs from interventions in singleton pregnancies.

Up to now, many treatment modalities have been investigated such as bed rest, tocolytics, antibiotics, cerclage or progestagens, but have failed to prevent prematurity rates in twin gestations or were even combined with harmful effects. Cervical pessaries might be a non-invasive cost-effective option, but it is mandatory to evaluate vaginal progesterone and cervical pessaries in twin gestations with a short cervix in further randomized trials.

Keywords: twin pregnancy; prevention of sponatenous preterm birth; cervical assessment

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About the article

Received: 2014-07-27

Accepted: 2014-07-27

Published Online: 2015-12-30

Published in Print: 2014-09-01


Citation Information: Prenatal Cardiology, ISSN (Online) 2353-8201, DOI: https://doi.org/10.12847/09141.

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