GESTAÇÃO MÚLTIPLA: DESAFIOS OBSTÉTRICOS E NEONATAIS

Abstract

Introduction: Multiple pregnancies, characterized by two or more fetuses, significantly increase the obstetric risk for both mother and baby. Complications such as preterm labor, premature birth, intrauterine growth restriction, and gestational diabetes are more common in these conditions. Reducing this risk requires a multifaceted and well-coordinated approach that includes birth control, appropriate medical intervention, nutritional and psychological support for pregnant women, and specific strategies for labor management. Implementing evidence-based protocols can improve maternal and neonatal outcomes, promoting safer and healthier pregnancies. Objective: To investigate obstetric complications associated with multiple pregnancies and evaluate alternative methods to reduce maternal and fetal complications. Methods: Data collection was carried out using the following databases: Nursing Equipment Database (BDENF), Scientific Electronic Library Online (SCIELO), PubMed and Literatura Latino-Americana do Caribe em Ciências da Saúde (LILACS). Results and Discussion: This study found that multiple pregnancies are associated with a significant increase in obstetric complications, including premature birth, hemorrhage, gestational diabetes, and internal growth restriction. Interventions such as increased birth control, administration of corticosteroids for fetal lung maturation, use of cervical cerclage have been shown to be effective in reducing problems. Research shows that it is important to manage multiple pregnancies in a professional and risk-reducing manner. Implementing specific protocols, such as prenatal counseling and periodic ultrasound assessments, can improve maternal and child outcomes. Conclusion: In summary, many pregnancies are associated with high rates of obstetric complications, but adopting monitoring and early intervention strategies can reduce maternal and fetal complications. In this context, effective treatment methods and education for pregnant women are important to improve health outcomes.