Correct antepartum management of multifetal gestations is a critical skill for practitioners of obstetrics. This article reviews important issues surrounding these complicated pregnancies while discussing current management options and recommendations. Topics include antepartum surveillance, preterm labor prediction, diagnosis, and management, and special situations unique to multiple gestations, such as twin-twin transfusions syndromr and death of one twin in utero. It is the author's hope that this article is comprehensive in enhancing the reader's knowledge of these complex pregnancies.
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