Learn more about our World Congress 2024 program topic - Twin and Multiple Pregnancy.
The incidence of multiple pregnancy is rising, due mainly to advanced maternal age and resultant widespread use of assisted reproductive techniques. Twin pregnancy is associated with a high risk of perinatal mortality and morbidity, particularly in monochorionic pregnancy, with complications of a shared placenta contributing to this risk. Preterm birth prior is common in up to 60% of multiple pregnancies, resulting in an increased risk of neonatal mortality and long-term morbidity.
In the first trimester, ultrasound enables the recognition of chorionicity, amnionicity, and the number of fetuses and their morphology, Ultrasound also allows for the assessment of the cervix via to identify the risk of premature delivery.
Ultrasound is essential for identifying and monitoring twin pregnancies at greater risk of adverse outcomes, such twin-to-twin transfusion syndrome (TTTS) and fetal growth restriction (FGR), and the evaluation of fetal biometry, anatomy, Doppler velocimetry, and amniotic fluid volume is paramount to establishing fetal wellbeing.
UOG journal cover image 2019
Congress scientific program sessions on this topic include:
Monday 16 September
- Much about multiples (08:30-09:10, Hall P1-2)
- Double insight: clinical challenges of twin pregnancies (17:00-18:10, Hall P3)
Wednesday 18 September
- Multiple pregnancy I (14:30-15:30, Hall H)
- Multiple pregnancy II (15:40-16:20, Hall H)
Recent UOG Articles
Longitudinal maternal hemodynamic evaluation in uncomplicated twin pregnancies according to chorionicity: physiological cardiovascular dysfunction in monochorionic twin pregnancy - D. Farsetti, F. Pometti, G. P. Novelli, B. Vasapollo, A. Khalil, H. Valensise. First published: 16 June 2023
Selective fetal growth restriction in dichorionic diamniotic twin pregnancy: systematic review and meta-analysis of pregnancy and perinatal outcomes - F. D'Antonio, S. Prasad, L. Masciullo, N. Eltaweel, A. Khalil. First published: 30 July 2023
Consensus protocol for management of early and late twin–twin transfusion syndrome: Delphi study - E. Krispin, A. Javinani, A. Odibo, E. Carreras, S. P. Emery, G. Sepulveda Gonzalez, M. Habli, K. Hecher, K. Ishii, J. Miller, R. Papanna, A. Johnson, A. Khalil, M. D. Kilby, L. Lewi, M. Bennasar Sans, L. Otaño, M. V. Zaretsky, N. Sananes, O. M. Turan, F. Slaghekke, J. Stirnemann, T. Van Mieghem, A. W. Welsh, Y. Yoav, R. Chmait, A. A. Shamshirsaz. First published: 08 August 2023
Incidence of neonatal morbidity in small-for-gestational-age twins based on singleton and twin charts - D. Wright, A. Wright, A. Rehal, A. Syngelaki, S. E. Kristensen, O. B. Petersen, K. H. Nicolaides. First published: 24 September 2023
Fetal and neonatal neuroimaging in twin–twin transfusion syndrome - M. S. Spruijt, J. M. M. van Klink, L. S. de Vries, F. Slaghekke, J. M. Middeldorp, E. Lopriore, R. N. G. B. Tan, J. P. Toirkens, S. J. Steggerda. First published: 12 January 2024
MoMo pregnancies Mo problems: notoriously complicated monochorionic monoamniotic multiple gestation - L. Forbes, J. L. Miller, A. A. Baschat, C. Kanaan, J. Gevaerd Martins. First published: 28 February 2024
- Can cervical length predict spontaneous pre-term birth in asymptomatic twin pregnancies?
- When is different sized twins a problem?
- How do you effectively monitor monochorionic twin pregnancies with ultrasound?
- What problems can arise with monoamniotic pregnancies?
- What are the most current screening methods for the prevention of premature birth in multiple pregnancies?