Delivery considerations of multiple pregnancy

The overall incidence of spontaneous multiple gestations is approximately 1-2 %. About 95 % of multiple pregnancies are twin pregnancies. Multiple pregnancies are coming increasingly common after ART.
This is true for especially for triplets and higher order pregnancies where antepartum and intrapartum complications are much more higher.
Approximately half of twins and 90 % of triplets have low birthweight and they are more likely to have complications immediately or later on.
Labour and delivery management is very important in multifetal pregnancies, because complication of labour and delivery such as preterm labour, uterine disfunction, abnormal presentations, and uterine laceration and atonia is much more common than sigleton pregnancies.
Special precautions and arrengements and close monitering must be considered when delivery of two or more fetusus is expected.