Sileo Filomena Giulia, Sorrenti Sara, Giancotti Antonella, Di Mascio Daniele, D'Ambrosio Valentina, Zullo Fabrizio, D'Alberti Elena, Derme Martina, Mappa Ilenia, Bertucci Emma, La Marca Antonio, D'Antonio Francesco, Rizzo Giuseppe, Khalil Asma
Prenatal Medicine Unit, Department of Medical and Surgical Sciences for Mother, Child and Adult, University of Modena and Reggio Emilia, 41121 Modena, Italy.
Department of Maternal and Child Health and Urological Sciences, Sapienza University of Rome, 00185 Rome, Italy.
J Clin Med. 2024 Dec 3;13(23):7355. doi: 10.3390/jcm13237355.
Twin pregnancies account for 3% of all pregnancies and they are burdened by higher morbidity and mortality compared to singletons. The role of ultrasound in the screening, diagnosis and management of possible complications of twin pregnancies has been widely investigated in the current literature. However, despite the progress that have been made in the last decades regarding treatment and evidence-based management of complications, twin pregnancies remain at higher risk of adverse outcomes, requiring therefore dedicated surveillance. Thorough counselling regarding the risks and prenatal care should be offered to all future parents of twin pregnancies. This review aims to summarize the current evidence regarding the management of uncomplicated dichorionic and monochorionic pregnancies.
双胎妊娠占所有妊娠的3%，与单胎妊娠相比，其发病率和死亡率更高。超声在双胎妊娠可能并发症的筛查、诊断和管理中的作用在当前文献中已得到广泛研究。然而，尽管在过去几十年中，双胎妊娠并发症的治疗和循证管理取得了进展，但双胎妊娠的不良结局风险仍然较高，因此需要进行专门的监测。应向所有双胎妊娠的准父母提供关于风险和产前护理的全面咨询。本综述旨在总结目前关于双绒毛膜和单绒毛膜双胎妊娠无并发症管理的证据。
