Older age at childbearing and increased use of fertility therapies and ovulation-inducing drugs are driving the spike in
multiple gestations.
LEGAL COMMENTARY: The court defined the term as follows: "Birth-related neurological injury means injury to the brain or spinal cord of a live infant weighing at least 2,500 grams for a single gestation, or in the case of a
multiple gestation, a live infant weighing at least 2,000 grams at birth cause by oxygen deprivation or mechanical injury occurring in the course of labor, delivery, or resuscitation in the immediate post-delivery period in a hospital, which renders the infant permanently and substantially mentally and physically impaired.
Information regarding specific anatomic anomalies affords the physician the opportunity to offer the patient sophisticated prenatal procedures, such as fetal surgery or selective fetal reduction in
multiple gestations.
5) Antepartum incidents including antepartum bleeding,
multiple gestation, and an IUFD were correlated with an increased risk of PPH.
49), followed by uterine scar unrelated to cesarean delivery,
multiple gestation, antepartum bleeding, and isoimmunization.
In
multiple gestation pregnancies, whether natural or through assisted reproduction, loss of one or more fetuses occurs in around 30% of cases.
Both normal and abnormal ultrasound anatomy are shown, and procedures like amniocentesis and multifetal pregnancy reduction are discussed, as are specific syndromes, chromosomal abnormalities,
multiple gestation, and infections.
Feticide for
multiple gestation is performed for two main indications: firstly, to reduce the risks associated with multiple births by reducing the number of fetuses, and secondly, for selective termination of the anomalous fetus(es).
Because the octuplet case was both a preterm and
multiple gestation delivery, additional skilled personnel would be on hand and available as well, as the chance of medical trouble to the newborn infants was significantly increased by the particulars of their birth.
Using clomiphene citrate for ovarian stimulation led to a higher live birth rate, compared with using letrozole, and a lower
multiple gestation rate, compared with using gonadotropins, in a randomized, multicenter trial that included 900 women.
Aberrant embryo spacing may also contribute to complications in a
multiple gestation pregnancy.
Women were not eligible to participate if they were younger than 18, had evidence of psychosis or had been institutionalized because of emotional problems or mental retardation; if the newborn was unlikely to survive; or if there was a
multiple gestation.
