ABSTRACT
Despite the recent explosion in the number of multifetal pregnancies there remains a dearth of information about maternal complications accompanying these pregnancies, particularly in the postpartum period. Although any complication of the puerperium may occur after the delivery of multiples, this chapter focuses on the puerperal complications that occur with greater frequency. Some of the conditions cited below are increased consistently in many studies, whereas others merely carry a theoretical increase in rate based on biologic plausibility. The intent of this chapter is to provide practicing physicians with the knowledge and tools necessary to care for women with multifetal pregnancies and to be prepared for complications that arise in that important, but often neglected, time of the puerperium.
