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Multiple pregnancies are associated with higher risks for both mother and babies. Women with multiple pregnancies have an increased risk of miscarriage, anemia, hypertensive disorders, haemorrhage, and postnatal illness. These pregnancies are more likely to need an operative delivery, and maternal mortality is generally 2.5 times that of singleton births. Fetuses are at increased risk for anatomic and genetic anomalies, growth abnormalities, prematurity, and several physiological problems related to monochorionicity. This book provides a much needed, up-to-date guide to the management of multiple pregnancies. Presented with a uniform approach to all chapters, information is easily navigable, evidence-based, and highly practical. Heavily illustrated, particularly with ultrasound images – the cornerstone of management of multiple pregnancies - this book will appeal to obstetricians and specialists in maternal-fetal medicine, midwives and ultrasonographers and will improve outcomes for mothers and babies.
Fully updated to reflect changes to the curriculum and question format since publication of the original edition, this book is essential reading for all Part 1 MRCOG candidates. A chapter has been added to mirror the new curriculum domain of data interpretation. Edited by experienced RCOG examiners and written by contributors to the RCOG's revision course, this comprehensive textbook provides extensive coverage of all curriculum areas covered by the Part 1 examination (the basic sciences which are vital to the clinical practice of obstetrics and gynaecology). Fully illustrated in colour throughout to aid understanding, this is the one textbook that every Part 1 candidate should own. The content is complementary to RCOG's eLearning programme StratOG (https://stratog.rcog.org.uk) which offers a range of products to support training and professional development in obstetrics and gynaecology, including banks of Single Best Answer (SBA) questions that offer candidates invaluable practice at tackling this demanding examination.