Multiple pregnancies

The incidence of twin pregnancies is currently approximately 1 in 80 births. A twin pregnancy is considered high-risk due to a higher incidence of complications affecting both the mother (pre-eclampsia, gestational diabetes, anaemia, caesarean section, postpartum haemorrhage, preterm birth) and the babies (higher incidence of structural and genetic defects, prematurity, growth restriction).

Twins can be fraternal (bichorial) or identical (monochorial), which significantly determines the risks associated with the pregnancy. Dizygotic twin pregnancies often proceed quite normally and, provided the babies are in a favourable position, are suitable for spontaneous delivery. This is in contrast to monozygotic twin pregnancies, which carry the risk of many serious pregnancy complications and, in most cases, are delivered by caesarean section.

We usually monitor twin pregnancies at the high-risk pregnancy clinic. Ultrasound scans are carried out more frequently and the condition of the birth canal is monitored. In the event of complications, we work in collaboration with perinatal centres.