Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies

Publication Date: September 30, 2016
Last Updated: March 14, 2022

Recommendations and Conclusions

The following recommendations and conclusions are based on good and consistent scientific evidence.

  • There is no role for the prophylactic use of any tocolytic agent in women with multifetal gestations, including the prolonged use of betamimetics for this indication.
  • Progesterone treatment does not reduce the incidence of spontaneous preterm birth in unselected women with twin or triplet gestations and, therefore, is not recommended.
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Overview

Title

Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies

Authoring Organization

American College of Obstetricians and Gynecologists