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ABSTRACT: Certainly, multiple gestations present numerous potential challenges, many of which require highly sophisticated interventions. Many of these potential complications and their management are discussed elsewhere in this symposia. However, for the uncomplicated multifetal pregnancy, the content of their antenatal care must not overlook those less technical but highly personal aspects of care. There is no substitute for sensitive, individualized, interpersonal care optimally provided by a single caregiver. Patient education, allaying patient fears, addressing psychosocial stresses, recognizing depression and anxiety are all important components of effective antepartum care for women with multiple gestations. Integrating these elements of interpersonal patient care with the more sophisticated and technical interventions also required by some women with multiples is the key to optimizing perinatal outcome for these challenging gestations.
Clinical Obstetrics and Gynecology 04/2004; 47(1):263-71. DOI:10.1097/00003081-200403000-00026 · 1.77 Impact Factor