Document Detail

Management of high-order multiple gestation.
MedLine Citation:
PMID:  15922789     Owner:  NLM     Status:  MEDLINE    
High-order multiple gestation presents unique challenges to the clinician to obtain the best possible outcome. An aggressive proactive approach works best compared with a wait-and-treat strategy when complications occur. Frequent ultrasound evaluations, fetal fibronectin testing, and contraction monitoring are important diagnostic tools. Aggressive weight gain, bed rest, and relaxation techniques are important interventions. Tocolytic drugs are used to prevent preterm labor, and aggressive dosing of MgSO4, terbutaline pumps, and oral agents are advocated to treat preterm labor. Outcome is generally good with high-order multiple gestation with this management protocol.
John P Elliott
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinics in perinatology     Volume:  32     ISSN:  0095-5108     ISO Abbreviation:  Clin Perinatol     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-30     Completed Date:  2005-08-09     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7501306     Medline TA:  Clin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  387-402, vi     Citation Subset:  IM    
Phoenix Perinatal Associates, a Division of Obstetrix Medical Group, 1331 N. 7th Street, Suite 275, Phoenix, AZ 85006, USA.
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MeSH Terms
Fetal Monitoring
Labor Presentation
Labor, Obstetric / physiology*
Pregnancy Outcome
Pregnancy, Multiple*
Prenatal Care / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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