Specialized Twin and Multiples Monitoring

Our team has additional experience in evaluating the multiple and complicated twin pregnancy. We are most experienced team in the region in caring for and monitoring high order (triplet and more!) multiple pregnancies.

Each year, UR Medicine Maternal-fetal Medicine follows over 100 sets of multiples to watch for maternal and fetal complications. Additionally, the team has special experience caring for high-order multiples and has followed over 240 sets of triplets, and 30 pregnancies with quads or higher in the last 18 years.

Ultrasound evaluation of twins or higher can be very complicated. Both parent and baby are at higher risk of many complications and at a higher risk of birth defects. Our team of maternal-fetal medicine physicians and dedicated OB/GYN sonographers has the experience and equipment to make this possible.

Depending on the type, multiples are at risk for a variety of medical conditions unique to multiple pregnancy including selective IUGR (intrauterine growth restriction), TAPS, TTTS, and TRAP.

One rare type of multiples, called monoamniotic or mono-mono twins, share an amniotic (water) sac and are at risk for becoming entangled in their umbilical cords. This type of twins requires special in-patient monitoring and early delivery. Each year, UR Medicine's Maternal-Fetal Medicine and UR Medicine's Golisano Children’s Hospital care for all of the women and children in the region with this unique complication.

Monitoring for twin complications uses specialized ultrasound technology called Doppler. Each year, our team performs over 1000 Doppler assessments, giving us the experience to interpret these complex situations and help provide the best care for your growing baby.