Presentation
The hospital of lower socioeconomic level presented multiple birth rates of approximately 8 per thousand during the decade, which may be considered as the natural one. [ncbi.nlm.nih.gov]
Entire Body System
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Asymptomatic
METHODS: Infant outcome after birth of symptomatic versus asymptomatic infection was compared for infants born with cCMV after multiple (study group) and singleton (control group) pregnancies in a 1:2 ratio. [ncbi.nlm.nih.gov]
Musculoskeletal
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Torticollis
Four risk factors were identified as having occurred at high frequency in this population: in utero constraint, supine sleeping position, torticollis, and prematurity. [ncbi.nlm.nih.gov]
Psychiatrical
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Depersonalization
Feelings of detachment and unreality were common in the immediate postpartum period, possibly due to transient depersonalization. [ncbi.nlm.nih.gov]
Urogenital
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Vaginal Bleeding
There can be more vaginal bleeding and for a longer time than with a singleton birth. Establishing breastfeeding can take longer. This is especially the case if the babies cannot breastfeed and the mother needs to express her breast milk. [huggies.com.au]
Most trials excluded those women with chorioamnionitis, pregnancy‐induced hypertension, vaginal bleeding, intrauterine compromise or fetal death, and contraindications to betamimetics. (3) Interventions Nine trials compared ritodrine with placebo ( Barden [doi.org]
Treatment
Medically assisted conceptions were defined as those that resulted from IVF or other fertility treatments, whereas natural conceptions were defined as those that were not assisted by fertility treatment. [doi.org]
The advent of fertility treatments has led to an increase in the rate of multiple births in the United States. However, the trends in and magnitude of the contribution of fertility treatments to the increase are uncertain. [ncbi.nlm.nih.gov]
Prognosis
Prognosis The U.S. maternal mortality rate for multiple pregnancy is only slightly higher than for singleton. A history of previous dizygotic twins increases the likelihood of subsequent multiple pregnancy 10-fold. [health.am]
The probability of specific adverse outcomes should be discussed, and it is the counseling physician’s ethical obligation to provide adequate information regarding diagnosis, prognosis, and alternative choices, including the option of no intervention. [acog.org]
Etiology
Under these circumstances it is important to make a rapid etiologic diagnosis to provide appropriate therapeutic intervention. [ncbi.nlm.nih.gov]
Epidemiology
Population-based genetic analyses, such as the Genome-Wide Association Study (GWAS), have proven powerful for describing the genetic complexities of common disease in epidemiologic research. [ncbi.nlm.nih.gov]
Epidemiology Currently in America, approximately 1 in every 250 births is a multiple: twins, triplets, or higher-order multiples. [pedsinreview.aappublications.org]
The organization’s comments came in response to a study published in the American Journal of Epidemiology by authors from the Centers for Disease Control and Prevention (CDC) and the March of Dimes that found controlled ovarian hyperstimulation (COH) [marchofdimes.org]
Pathophysiology
While preterm birth usually represents the final common pathway of at least four distinct pathophysiologic processes (maternal and/or fetal stress, inflammation, abruption or decidual bleeding, and excessive mechanical stretching of uterus), it seems [doi.org]
Prevention
(Funded by the Centers for Disease Control and Prevention.) [doi.org]
For multiple gestations, there is no evidence that cerclage is an effective intervention for preventing preterm births and reducing perinatal deaths or neonatal morbidity. [ncbi.nlm.nih.gov]