This book provides a comprehensive update on the management of multiple pregnancy, which is becoming more common, and is associated with increased maternal and perinatal mortality and morbidity. Offering a practical guide and a wealth of videos, images and illustrations, the book will help clinicians to feel more confident when caring for women with multiple pregnancy. 

Its main objectives are:

• To increase the level of knowledge of healthcare professionals involved in the care of these women;
  
• To update their knowledge in keeping with the recommendations of the latest national and international guidelines; and
  
• To promote a multidisciplinary approach to the management of women with multiple pregnancy. 
  

Section I Biology: Zygocity and chorionicity OR Biology and genetics of dizygotic and monozygotic twinning

The vanishing twin
Genomic studies of complex traits: the value of twins
Placentation in multiple pregnancy
'Omic' twin studies
Section I Epidemiology: Epidemiology of twins and multiple pregnancy
Assisted conception and multiple pregnancy
Emerging methods in twin research
Section III Antenatal Care in twins and multiple pregnancy: Dating of the pregnancy (determining the gestational age)
Determining chorionicity and amnionicity
Twin labelling, timing, frequency and content of ultrasound assessment
Prenatal screening for and diagnosis of aneuploidy
Screening for structural abnormalities
Assessment of fetal growth in twins and multiple pregnancy
Section IV Prenatal complications in multiple pregnancy: Twin pregnancies discordant for fetal anomaly
Fetal reduction/selective termination in uncomplicated twins and multiple pregnancy
Preterm birth in twins and multiple pregnancy
Fetal growth restriction
Stillbirth and single inutero death
Section V Complications unique to monochorionic twin pregnancies: Twin to twin transfusion syndrome
Twin anaemia polycythaemia sequence
Twin reversed arterial perfusion sequence
Monochorionic monoamniotic twin pregnancy
Diagnosis and management of conjoined twins
Section VI Peripartum care: Timing of birth in uncomplicated twin pregnancy
Mode of delivery in twin pregnancy and delivery of the second twin
Analgesia and anaesthetic consideration
Postpartum hemorrhage and maternal morbidity in multiple pregnancy
Section VII Postnatal care: Breast feeding twins and multiples
Postpartum depression and psychiatric considerations
Postnatal neonatal assessment in multiple pregnancy
Support after single loss in twin and multiple pregnancy
Section VIII Childhood development: Cerebral palsy and neurodevelopmental delay inmultiple pregnancy
Long term follow-up: indications and methodology
Neuroimaging & the brain; the role of twin studies
Section IX Research, registries and Parent views: Research studies in twins and multiple pregnancy (Global Twins and Multiples Priority Setting Partnership)
Twin and multiple pregnancy registries
Twin and multiple pregnancy: patient voice.