Višeplodove trudnoće se u gotovo svim slučajevima smatraju rizičnima za buduću majku i njezinu tek nerođenu djecu. Sama trudnoća može proći bez ikakvih posljedica, te ju je moguće iznesti do termina ili barem do tjedana trudnoće kada fetuse smatramo spremnima za ekstrauterini život. Od velike važnosti je rana dijagnostika u kojoj glavnu ulogu ima ultrazvuk. Njegova je pouzdanost velika te je moguće odrediti zigotnost fetusa. Tijekom trudnoće je bitno upoznati ženu s promjenama njezinog tijela koje se pripisuju njezinoj prilagodbi. Važno je podići svijest o antenatalnoj skrbi te uputiti ženu da odlazi redovito na preglede. Posebice obratiti pozornost na prehranu, procjenu fetalnog rasta, probir na gestacijsku hipertenziju, te kromosomske i urođene anomalije. Uz pomoć svih pregleda i probira možemo pratiti razvijaju li se fetusi adekvatno i uočiti bilo kakve nepravilnosti. Tijekom trudnoće moguće je da se pojave različite komplikacije. Najpoznatije su: diskordantan rast, zastoj u rastu, intrauterina smrt ploda, transfuzijski sindrom blizanaca i sindrom blizanačke policitemije i anemije. Porod blizanaca sam po sebi može biti iscrpljujuć i dugotrajan. No, važno je nadzirati opće stanje majke i plodova. Svakako je preporuka obaviti porod u tercijarnim centrima kako bi majka i djeca dobila adekvatnu medicinsku skrb. Pri vaginalnom porodu moguće su razne malprezentacije plodova, te je ključno prije samog početka ultrazvučno odrediti njihov položaj. U slučaju abnormalnih položaja, teške asfiksije i uske zdjelice, preporuka je dovršiti porod kirurškim putem odnosno carskim rezom. KLJUČNE
Multiple pregnancies are in almost all cases considered risky for the expectant mother and her unborn children. The pregnancy itself can pass without any consequences and it is possible to carry it out until the term or at least until the week of pregnancy when we consider the fetus ready for extrauterine life. An early diagnosis is of great importance, in which ultrasound plays a major role. Its reliability is high and it is possible to determine the zygote of the fetus. During pregnancy, it is essential for the woman to be explained about the changes in her body that are attributed to her adjustment. It is important to raise awareness about antenatal care and instruct the woman to go for regular check-ups. Pay special attention to the woman's diet, assessment of fetal growth, screening for gestational hypertension and chromosomal and congenital anomalies. With the help of all examinations and screenings, we can monitor whether the fetuses are developing adequately or notice any irregularities. Various types of complications can occur during pregnancy. The most well-known are: discordant growth, growth retardation, intrauterine fetal death, twin transfusion syndrome and twin polycythemia and anemia. Giving birth to twins in itself can be exhausting and time consuming. But, it is important to monitor the general condition of the mother and fetuses. It is certainly recommended to give birth in tertiary centers so that the mother and children receive adequate medical care. During vaginal birth, various fetal malpresentations are possible, and it is crucial to determine the position of the fetus by ultrasound before the very beginning. In case of abnormal positions, severe asphyxia and narrow pelvis, it is recommended to complete the birth surgically or by caesarean section.