Search

Skip to main content Accessibility help

Home
Search

Only show content I have access to (0)

Chapters (1)

Last 3 years (1)

From year:

To year:

Apply

Medicine (1)

preterm prevention

Cambridge University Press (1)

View selected items
Save to my bookmarks
Export citations
Download PDF (zip)
Save to Kindle
Save to Dropbox
Save to Google Drive
Save content to
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to .

To save content items to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Please be advised that item(s) you selected are not available.
You are about to save
Your Kindle email address

Please provide your Kindle email.

@free.kindle.com @kindle.com (service fees apply)

By using this service, you agree that you will only keep content for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services

1 results

Chapter 20 - Prevention of Preterm Birth in Multiple Pregnancies
- By Abdallah Adra
Edited by Leanne Bricker, Julian N. Robinson, Baskaran Thilaganathan, St George's Hospital Medical School, University of London
Book:

Management of Multiple Pregnancies

Published online:

11 October 2022

Print publication:

27 October 2022, pp 210-220
- Chapter
- - Get access
    
    Check if you have access via personal or institutional login
    
    Log in Register
- Export citation
Summary

Arguably the most common cause of perinatal mortality and morbidity in multiple gestation is spontaneous preterm labour and delivery. A number of interventions have been evaluated in preventing spontaneous preterm birth in this this context, namely, bed rest (with or without hospitalization), oral tocolytics, home uterine activity monitoring, use of progesterone, cervical cerclage and cervical pessary. Most of the research is in this area relates to twin pregnancy with very little dedicated to triplet and higher order pregnancies. There are conflicting results but in the main, sadly, an effective primary preventative intervention remains elusive. This chapter will summarise what we know about the efficacy of the aforementioned interventions and highlight some specific scenarios where intervention may be beneficial.