Poniedziałek-Czajkowska E, Leszczyńska-Gorzelak B, Oleszczuk J
Kliniki Połoznictwa i Perinatologii II Katedry Połoznictwa i Chorób Kobiecych AM w Lublinie.
Ginekol Pol. 2000 Nov;71(11):1435-44.
Multiple pregnancy contributes to higher maternal and fetal risks than a single one. Complications typical only for multiple pregnancy such as PROM with preterm delivery, intrauterine death or IUGR of one of twins can occur during 2nd and 3rd trimester. Treatment in such situations is usually difficult and often controversial because of simultaneous presence of an alive and/or healthy fetus and possible risk for mother. The paper presents such situations and possible ways of treatment.
多胎妊娠相较于单胎妊娠会带来更高的母婴风险。仅多胎妊娠特有的并发症,如胎膜早破伴早产、宫内死亡或双胎之一的胎儿宫内生长受限,可在妊娠中期和晚期发生。在这种情况下,由于同时存在存活和/或健康的胎儿以及对母亲可能存在的风险,治疗通常很困难且常常存在争议。本文介绍了这些情况以及可能的治疗方法。