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Biryabarema Emmanuel
Multiple pregnancy refers to the presence of more than one fetus in the uterus, arising from either splitting of a single fertilized egg or fertilization of multiple eggs. Classification considers the number of fetuses, zygosity, chorionicity, and amnioticity, with specific terms for monozygotic and dizygotic twins. The document outlines intrapartum management, including staffing requirements, monitoring, and delivery strategies for twins and higher-order multiples. It details indications for cesarean section, common maternal and fetal complications, and special conditions such as twin‑to‑twin transfusion syndrome with its diagnostic and therapeutic approaches. The material serves as a concise teaching guide for obstetric care of multiple pregnancies.
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