MONOCHORIAL MULTIPLE PREGNANCY WITH ANTENATAL DEATH OF ONE FETUS (REVIEW ARTICLE)

Over the past decades, due to the widespread use of assisted reproductive technologies, the frequency of multiple pregnancies in the population has doubled, reaching an average of 2%.

According to the literature, in multiple pregnancies, the incidence of selective fetal growth retardation syndrome and impaired fetal-placental hemodynamics is significantly higher than in singleton pregnancy.  Thus, the frequency of birth of fetuses weighing less than 2,500 grams is 6.52% and 92% for singleton, double and three-proton pregnancies, respectively. 

An integrated approach within one institution to the diagnosis, perinatal observation, accompaniment and delivery of patients whose multiple pregnancies have been complicated by the antenatal death of one fetus can improve the perinatal outcomes of the surviving fetus.