Management of Multiple Pregnancies A Practical Guide 1st edition by Leanne Bricker, Julian Robinson, Baskaran Thilaganathan ISBN 1108843190 978-1108843195

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ISBN 10: 1108843190
ISBN 13: 978-1108843195
Author: Leanne Bricker, Julian Robinson, Baskaran Thilaganathan 

Multiple pregnancies are associated with higher risks for both mother and babies. Women with multiple pregnancies have an increased risk of miscarriage, anemia, hypertensive disorders, haemorrhage, and postnatal illness. These pregnancies are more likely to need an operative delivery, and maternal mortality is generally 2.5 times that of singleton births. Fetuses are at increased risk for anatomic and genetic anomalies, growth abnormalities, prematurity, and several physiological problems related to monochorionicity. This book provides a much needed, up-to-date guide to the management of multiple pregnancies. Presented with a uniform approach to all chapters, information is easily navigable, evidence-based, and highly practical. Heavily illustrated, particularly with ultrasound images – the cornerstone of management of multiple pregnancies – this book will appeal to obstetricians and specialists in maternal-fetal medicine, midwives and ultrasonographers and will improve outcomes for mothers and babies.

Management of Multiple Pregnancies A Practical Guide 1st Table of contents:

1. Introduction to Multiple Pregnancies

   • Definition and Overview of Multiple Pregnancies
   • Epidemiology and Trends
   • Importance of Specialized Care in Multiple Pregnancies

2. The Biology of Multiple Pregnancies

   • Natural Conception of Multiple Pregnancies
   • Assisted Reproductive Technologies (ART) and Multiple Pregnancies
   • Genetic and Environmental Factors in Multiple Pregnancies

3. Prenatal Care for Multiple Pregnancies

   • Initial Assessment and Diagnosis
   • Ultrasound and Monitoring Techniques
   • Nutritional Considerations
   • Managing Maternal Health and Risk Factors
   • Screening for Complications (e.g., preeclampsia, gestational diabetes)

4. Complications of Multiple Pregnancies

   • Preterm Birth and Management
   • Intrauterine Growth Restriction (IUGR) and Fetal Monitoring
   • Twin-to-Twin Transfusion Syndrome (TTTS)
   • Placental Issues (e.g., placenta previa, accreta)
   • Multiple Birth Syndromes (e.g., conjoined twins)

5. Labor and Delivery in Multiple Pregnancies

   • Vaginal vs. Cesarean Delivery
   • Planning for Preterm Delivery
   • Managing Complications During Labor
   • Monitoring and Delivery of Multiple Fetuses

6. Postpartum Care

   • Maternal Recovery After Multiple Births
   • Neonatal Care of Multiples
   • Breastfeeding and Bonding with Multiple Babies

7. Psychosocial Aspects of Multiple Pregnancies

   • Emotional and Psychological Impact on Mothers
   • Support for Families of Multiples
   • Coping Strategies and Resources for Parents

8. Long-Term Care and Follow-Up

   • Monitoring the Growth and Development of Multiple Births
   • Early Intervention and Special Needs
   • Pediatric Considerations for Multiple Births

9. Ethical Considerations in Multiple Pregnancies

   • Ethical Issues in ART and Multiple Births
   • Decision-Making in High-Risk Pregnancies
   • Counseling and Informed Consent

10. Future Directions in the Management of Multiple Pregnancies

    • Advances in Medical Technology and Monitoring
    • Preventing Preterm Births in Multiple Pregnancies
    • Innovations in Perinatal Care

Conclusion

• Summary of Key Points
• Best Practices for Managing Multiple Pregnancies

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