Management of Twin Pregnancies and The Risk of Fetal Death

Introduction: Twin pregnancies can present risks to both mother and fetus. One of the biggest concerns in twin pregnancies is premature birth. Objectives: To discuss the management of twin pregnancies in order to avoid fetal death. Material and Methods: The methodology used was a literature review. The research was carried out through an electronic search of scientific articles published between 2010 and 2024. Discussion: Complications such as premature birth, pre-eclampsia, intrauterine growth restriction and gestational diabetes are more common in twin pregnancies. Reducing these complications requires a well-coordinated, multidisciplinary approach that includes rigorous prenatal monitoring, appropriate medical interventions, nutritional and psychological support for the pregnant woman, as well as specific strategies for birth management. Conclusion: Twin pregnancies are always special. They are always monitored differently and the risks of them happening are always greater. Health professionals should therefore do their utmost to be aware of all possible complications during twin pregnancies.