Multiple Pregnancy: Epidemiology, Gestation, and Perinatal Outcome

Front Cover
L.G. Keith, E. Papiernik
CRC Press, Apr 15, 1995 - Medical - 722 pages
From the Foreword by John J. Sciarra, M.D., Ph.D., Thomas J. Watkins Professor and Chairman of Obstetrics and Gynecology and Past President of FIGO, Northwestern University Medical School, Chicago:
"This book is by far the most comprehensive and up-to-date source on multiple pregnancy. It discusses cutting-edge options and technologies, and co
 

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Contents

The role of research in twin medicine
3
The twin method
9
Biology
23
The mechanism of monozygosity and double ovulation
25
The frequency and survival probability of natural twin conceptions
41
Documenting the vanishing twin by pathological examination
51
The vanishing twin
59
Congenital anomalies and pregnancy loss
73
The twintwin transfusion syndrome treatment of chorioangiopagus and asymmetry
399
The intrauterine demise of one fetus
407
Antepartum Considerations
413
The physiology of preterm labor
415
Normal and abnormal patterns of labor
427
Reducing the risk of preterm delivery
437
Assessment of cervical change
453
Ambulatory tocolysis
471

Conjoined twins
93
Placentation
113
Epidemiology
131
Demographic trends in twin births USA
133
The epidemiology of multiple births in Europe
145
The role of birth weight gestational age race and other infant characteristics in twin intrauterine growth and infant mortality
163
The impact of assisted reproductive technology on the incidence of multiple gestation
175
Diagnosis and General Considerations
193
Ultrasound scanning techniques
195
Population ultrasound the Swedish experience
205
Pregnancy dating and evaluation by ultrasonography
215
Diagnosis of fetal congenital anomalies by ultrasonography
239
Maternal adaptation to multifetal pregnancy
269
Maternal clinical and biochemical changes
279
Psychophysiological adaptation to multiple pregnancy
289
Maternal characteristics and prenatal nutrition 21
299
Assessment and Management of Fetal Wellbeing
311
Prenatal genetic diagnosis amniocentesis and chorionic villus sampling
313
Biophysical assessment
325
Intrauterine behavior
331
The natural history of grand multifetal pregnancies and the effect of pregnancy reduction
351
Multifetal pregnancy reduction and selective secondtrimester termination
359
The twintwin transfusion syndrome vascular anatomy of monochorionic placentas and their clinical outcomes
367
The twintwin transfusion syndrome threedimensional modelling of the common villous district
395
The optimum route of delivery
491
Labor and delivery
503
Analgesic and anesthetic considerations
517
Clinical management of monoamniotic twins
527
Management of triplet and higherorder pregnancies
535
Postpartum Considerations
551
Breast feeding multiples
553
Bonding and attachment
563
Psychiatric considerations after the birth of multiples
573
Childhood Growth and Development
583
Fetal brain and pulmonary adaptation in multiple pregnancy
585
Factors affecting developmental outcome
599
The longterm development of twins anthropometric factors and cognition
613
Postnatal zygosity determination
625
Parental Concerns
635
The parentdoctor relationship
637
Ethical considerations
645
National Organization of Mothers of Twins Clubs Inc
655
Parenting twins a pediatricians point of view
659
Parents of multiples clubs and clinics the United Kingdom experience
663
Resources
667
Index
681
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