The optimal management of multiple pregnancy continues to stimulate debate. The recent widespread use of ovulation induction techniques has increased the incidence of twins and higher multiple pregnancy well beyond the traditional experience, leading to frequent ethical and clinical dilemmas. Although the perinatal mortality for multiple pregnancy exceeds that of singleton pregnancy, aggressive team management will minimise losses. In experienced hands, close clinical attention to the course of the pregnancy, combined with serial ultrasonic and biophysical studies and supportive psychological counseling, produces good results.
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