Multiple pregnancy refers to twin or higher-order gestations and carries increased risk compared to singleton pregnancy.

Management begins with early determination of chorionicity, which guides surveillance strategy. Monitoring intervals are intensified and growth assessments are scheduled systematically. Doppler studies are incorporated when indicated.

Risk of growth discordance, placental complications, and preterm labor is assessed continuously. Delivery timing is individualized according to measurable maternal and fetal parameters.

Structured follow-up and disciplined monitoring contribute to optimized outcomes in multifetal pregnancies. Our experience with twin management supports stability and clear planning throughout gestation.