What Interventions Are Useful in Reducing the Rate of Preterm Delivery in Twins?

Reducing the rate of preterm delivery in twins is a major goal of obstetricians and other health care providers worldwide.1,2 This article discusses three important aspects of issues relating to preterm delivery rates: 1) the frequency of preterm births (compared with singleton pregnancies) and its consequences in terms of adverse outcomes, 2) various techniques proposed to prevent preterm births among twins and their limitations, and 3) the concept of the "Twin Clinic" as a means of providing a higher level of care to these high risk pregnancies and reducing their rates of preterm delivery.