Research Article | Open Access
Volume 2025 - 2 | Article ID 293 | http://dx.doi.org/10.51521/BOG.2025.21.102
Academic Editor: John Bose
Osho ES1, Ojo-Rowland OT2,
Bello AO1, Bamidele JF3, Oyun A2, Fatukasi JI1.
1Department of Radiology, University of Medical Science Teaching Hospital, Nigeria
2Department of Medicine and Surgery, University of
Ilorin Teaching Hospital, Nigeria
3Department of Obstretics and Gynaecology,
University of Medical Science Teaching Hospital, Nigeria
Corresponding Author: Osho ES, Department of Radiology, University of Medical Science Teaching Hospital, Nigeria, Email: salewaosho@gmail.com, droshopo@unimed.edu.ng
Citation: Osho ES, Ojo-Rowland OT, Bello AO, Bamidele JF, Oyun A, Fatukasi JI, (2025). Radiologic Approaches In The Detection And Monitoring Of Multiple Pregnancy Complications. Bull of Obstetr Gynaecol, 2(1),1-8.
Copyright: © 202 5, Osho ES, et al., This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
ABSTRACT
Multiple pregnancy, defined as the gestation of two or more fetuses, is a high-risk condition associated with increased maternal and fetal morbidity and mortality. The global incidence varies geographically, with Africa particularly Nigeria recording the highest rates. Twin pregnancies constitute over 98% of multiple gestations, and their risk profile intensifies with the number of fetuses. Complications such as preterm birth, fetal growth restriction, twin-to-twin transfusion syndrome (TTTS), and maternal hypertensive disorders are common. Radiology plays a pivotal role in the diagnosis, monitoring, and management of multiple pregnancies. Ultrasound remains the cornerstone imaging modality due to its safety, accessibility, and real-time imaging capability. It is indispensable in determining chorionicity, detecting congenital anomalies, and assessing fetal growth and wellbeing. Advanced modalities, including high-resolution ultrasound, 3D/4D imaging, Doppler, and fetal MRI, have further enhanced diagnostic accuracy, enabling early detection and guided interventions such as fetoscopic laser ablation and intrauterine transfusion. Although the use of ionizing modalities like CT and X-ray is limited due to teratogenic risks, they remain essential in maternal life-threatening emergencies. The integration of artificial intelligence (AI) into radiologic imaging promises greater precision, automation, and predictive power in future obstetric care.
Keywords: Multiple Pregnancy, Twin to Twin Syndrome, Doppler, Ultrasound.
.png)
.gif)
.jpg)
