Complications of multiple pregnancies. Overwiew

Abstract

Multiple gestations are high risk pregnancies which may be complicated by prematurity,low birthweight, preeclampsia, anaemia, postpartum haemorrhage, intrauterine growth restriction, neonatal morbidity and high neonatal and infant mortality. Preterm labor and birth represent the greatest risk to a multiple pregnancy. Sixty percent of multiples are born prematurely (<37 weeks) compared to about 10% of singleton pregnancies. Placental function is more likely to be abnormal in a multiple pregnancy. Another placental problem is twintwin transfusion, a life-threatening condition in identical twins. Preeclampsia, also known as toxemia, occurs 2 to 5 times more often in multiple pregnancies. Fifteen percent to 20% of women with twin pregnancies will experience preeclampsia, and an even higher percentage is preeclamptic in triplet or high-order pregnancies. Preterm labor and birth pose the greatest risk to a multiple pregnancy. Sixty percent of multiples are born prematurely (<37 weeks) compared to about 10% of singleton pregnancies. Fetal and Newborn complications such as preterm delivery, respiratory distress syndrome, brain damage are responsible for almost 10% of premature newborn deaths. Birth defects and stillbirths account for about 30% of the deaths in twins and multiple pregnancies. Low birth weight of less than 5.5 pounds (lb.) [2,500 grams] occurs in over half of twins..