![]() ![]() Despite this, multiple pregnancies are often excluded from research studies, with only 8% of trials on fetal growth restriction (FGR), 17% of those on pre-eclampsia and 2% of those on diabetes including multiple pregnancies over the last 7 years. ![]() ![]() MMBRACE (Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK) published for the first time its report on the Confidential Enquiry into Stillbirth and Neonatal Death in Twin Pregnancies on 14 January 2021 and reported that ‘in around 1 in 2 baby deaths, the care was poor, and that if the care had been better it may have prevented the baby from dying’ 9. These pregnancies not only contribute to a disproportionate number of cases of cerebral palsy 3, stillbirth 4, 5 and neonatal morbidity and mortality 6, but also pose an increased risk of maternal complications, such as hypertensive disorders 7, thereby leading to increased healthcare costs, largely due to the high rate of neonatal unit admission 8. However, recent reports from the USA and UK have demonstrated a decline in the twin-birth rate since 2014 2. The incidence of multiple pregnancy has increased substantially in the last few decades, secondary to the rise in the use of assisted reproductive techniques 1. ![]()
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