Abstract
Perinatal mortality for twins is five to seven times that for singletons. This disparity is related to a variety of risk factors that may alter the health of the woman and her fetuses. With twin pregnancies, antepartum surveillance frequently begins earlier in gestation. Although extensive antepartum and intrapartum nursing care is required for women with twins, little has been published in the nursing literature to provide direction for caregivers. Factors such as zygosity and gestational age influence monitoring in twin pregnancies. Current clinical and technical nursing issues are reviewed and related to the antepartum and intrapartum electronic fetal monitoring of twins.
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