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While the recognition of multiple pregnancy is at times comparatively easy it is at other times extremely difficult, if at all possible with certainty. It will be appreciated that in a given case the diagnosis may be of the utmost importance, as upon its correctness will depend the outcome of the pregnancy, the safe delivery of the product of conception and perhaps also the life of the mother. In a failure to distinguish a duplication of the fetal members the diagnosis may remain undeterminable until labor has begun or even progressed to quite an advanced stage. Pajot contended that the obstetrician could be certain of the existence of twins only when after the birth of one fetus another was found yet in the uterus.
The existence of twin pregnancy is rendered probable by unusual and irregular enlargement of the abdomen, by the occurrence of fetal movements in different parts of
THE DIAGNOSIS OF TWIN PREGNANCY. JAMA. 1896;XXVII(24):1253–1254. doi:10.1001/jama.1896.02431020035008
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