This clinical text covers all the aspects of multiple pregnancies in which ultrasound plays a key role. Richly illustrated with sonographic images, drawings, tables, and pathological pictures of specimens, the book contains eleven definitive chapters by leading authors that include some of the pioneers in pathology, prenatal diagnosis, sonography, in utero therapy, and Doppler. The opening chapters outline the epidemiology as well biology and placentation of twinning. Core chapters detail the prenatal diagnosis of twins and higher multiples using both transvaginal and transabdominal sonography, sonographic diagnosis and management of complications unique to monochorionic pregnancies and dichorionic or trichorionic pregnancies, the role of Doppler in multifetal pregnancies, and the importance of sonography in the successful antepartum and intrapartum management of multiples. The final chapters cover invasive procedures: chorionic vi llus sampling, amniocentesis, multifetal pregnancy reduction, and in utero endoscopy.
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