Graham George M, Gaddipati Sreedhar
Department of Obstetrics and Gynecology, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96826, USA.
Semin Perinatol. 2005 Oct;29(5):282-95. doi: 10.1053/j.semperi.2005.10.003.
Obstetrical complications unique to multiple gestations pose a number of unique challenges. The presence of more than one fetus complicates the diagnosis and management of a pregnancy when one fetus has a structural or chromosomal abnormality, intrauterine demise, preterm premature rupture of the membranes, or delivers prematurely. Similarly, the diagnosis and management of monoamniotic twins and conjoined twins is challenging. These obstetrical complications that are unique to multiple gestations require thorough counseling of the expectant parents, as well as care by physicians with expertise in the management of multiple gestations.
多胎妊娠特有的产科并发症带来了许多独特的挑战。当一个胎儿出现结构或染色体异常、宫内死亡、胎膜早破或早产时，不止一个胎儿的存在会使妊娠的诊断和管理变得复杂。同样，单羊膜囊双胎和联体双胎的诊断和管理也具有挑战性。这些多胎妊娠特有的产科并发症需要为准父母提供全面的咨询，以及由具有多胎妊娠管理专业知识的医生进行护理。
