About the book
This book aims to explore one of the interesting subjects that occurs during pregnancy, multiple pregnancy. A multiple pregnancy may be the result of abnormal fertilization of one oocyte, which then splits in order to create two identical fetuses (monozygotic), or it can be the result of fertilization of multiple eggs that then create multiple pregnancy (polyzygotic). We will explore the terminology used in multiple pregnancies.
Epidemiologically it has been shown that in recent years there have been increasing numbers of multiple births. In this book, etiology and frequency of multiple pregnancies will be discussed, as well as: Hellin’s low, factors such as age, race, use of fertility drugs, induction of ovulation and assisted reproductive technology procedures. Abnormal cases of multiple pregnancy such as vanishing, conjoined, chimerism, parasitic twins, will be also covered in this book. Multiple pregnancy has many risks and complication such as miscarriage and premature labor. Birth delivery can be done by vaginal rout or via cesarean section.
Management of multiple pregnancy is challenging. Multiple pregnancy might have a major risk for the mother and her fetuses. Bed rest has not been found to change outcomes but it is generally recommended. A special care for women with multiple pregnancy is needed in antenatal period, during delivery, and during care for neonates.