Inside Health Care: Neonatal Intensive Care -Who Decides? Who Pays? Who Can Afford It?

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Health care in the US is facing a crisis, but there is polarization and disagreement among policy makers and the public about how to solve this crisis. The overall outcome is ranked much lower than ...
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Multifetal Gestation

Pp. 155-184 (30)

Michael V. Zaretsky

Abstract

Multifetal gestation accounts for a small percentage of births but results in significant perinatal morbidity and mortality. In this chapter the differences between a singleton and multifetal gestation will be elucidated. The presence of more than one fetus results in increasing risks for both mother and each fetus. Preterm birth is of greatest concern, however unique and rare complications may occur resulting in significant challenges for providers. Because of the significant cost to both patients and to society as a whole, there are ongoing efforts to limit the number of multiples derived through assisted reproductive technology.

Keywords:

Multifetal gestation, Prematurity, Twins, Multiple births, Pregnancy complications, Congenital malformation, Growth restriction, Monochorionic gestation, Preterm labor, Infertility, Assisted reproductive technology, IVF.

Affiliation:

Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, Texas 75390, USA.