REVIEW PAPER
Preterm delivery in multiple pregnancy
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Faculty of Health Sciences, Academy of Applied Medical and Social Sciences, Elbląg, Poland
Submission date: 2025-12-03
Final revision date: 2026-01-07
Acceptance date: 2026-01-09
Online publication date: 2026-01-12
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Preterm delivery rates have been stable for many years. Improvement in diagnostic and treatment decreases the rates of spontaneous preterm delivery but increases frequency of iatrogenic prematurity.
Aim:
The aim of the review was to systematize knowledge about preterm delivery reasons in multiple pregnancies.
Material and methods:
Literature regarding preterm delivery in multiple pregnancy was analyzed.
Results and discussion:
Preterm delivery is more frequent in multiple pregnancies when compared to singleton gestations. There are many pathophysiological mechanisms of early shortening of uterine cervix, rupture of membranes and uterine contractions leading to delivery. Additional problem is related to multiple pregnancy complications, increasing the risk of both, spontaneous and iatrogenic, delivery.
Conclusions:
Multiple pregnancy is a risk factor of spontaneous and iatrogenic preterm delivery.
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