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THE MERITS OF SPECIAL ANTENATAL CARE FOR TWIN PREGNANCIES
Article first published online: 23 AUG 2005
DOI: 10.1111/j.1471-0528.1981.tb00972.x
Issue
1471-0528/asset/cover.gif?v=1&s=b4e1d96c46e18c61210d584b63c13ee375cf562b "BJOG: An International Journal of Obstetrics & Gynaecology")
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 88, Issue 3, pages 222–230, March 1981
Additional Information
How to Cite
O'Connor, M. C., Arias, E., Royston, J. P. and Dalrymple, I. J. (1981), THE MERITS OF SPECIAL ANTENATAL CARE FOR TWIN PREGNANCIES. BJOG: An International Journal of Obstetrics & Gynaecology, 88: 222–230. doi: 10.1111/j.1471-0528.1981.tb00972.x
Publication History
- Issue published online: 23 AUG 2005
- Article first published online: 23 AUG 2005
- Received July 1, 1980/Accepted September 7, 1980
- Abstract
- References
- Cited By
Summary
A combined series of 101 twin pregnancies for whom routine hospital rest during the last trimester was replaced by intensified antenatal care in a special twins clinic was studied. Perinatal mortality and morbidity was similar to that found in a comparison group of 137 twin pregnancies under the care of consultants and not referred to the twins clinic. Routine cervical assessments and uterine activity measurements were unhelpful in predicting premature delivery. Urinary oestrogens and ultrasonic measurements of fetal biparietal diameter were of little or no value in predicting weight for gestational age but the ultrasonic measurement of abdominal circumference provided limited information on fetal growth. The contribution of a placebo effect to the results of patients receiving more personalised care cannot be discounted.