Management of High-Order Multiple Gestation

• Autores: John P. Elliott
• Localización: Clinics in Perinatology, ISSN 0095-5108, Vol. 32, Nº. 2, 2005 (Ejemplar dedicado a: Multiple gestations / coord. por Keith A. Eddleman, Joanne Stone), págs. 387-402
• Idioma: inglés
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• Resumen

  • High-order multiple gestation presents unique challenges to the clinician to obtain the best possible outcome. An aggressive proactive approach works best compared with a wait-and-treat strategy when complications occur. Frequent ultrasound evaluations, fetal fibronectin testing, and contraction monitoring are important diagnostic tools. Aggressive weight gain, bed rest, and relaxation techniques are important interventions.