MULTIPLE PREGNANCY, MODERN VIEW OF THE PROBLEM

Summary. The issue of multiple pregnancy continues to maintain its relevance and status of the priorities of modern obstetrics, thanks to a stable high frequency in the population and in the world. According to the observations, only for the period from 2000 to 2010 year Ukraine has seen an increase in the frequency of multiple births by more than 30%, while deliveries with twins account for nearly 95% and the remaining 5% are triplets birth and multiple pregn of higher order. Multiple pregnancy contributes to significant morbidity and adverse pregnancy outcomes for the mother and for the newborn. Maternal morbidity in multiple pregnancies (BV) increases in 3-7 times, and the associated material costs of health care, increased by more than 40% compared with a singleton pregnancy and childbirth. Compared with singleton pregnancy at BV complications occur more often before, are characterized by a severe and prolonged course. Perinatal mortality in pregnancy with twins is 5 times higher than in singleton pregnancies, intrauterine fetal death is 4 times higher, neonatal ? 6 times, perinatal ? 10 times. Despite numerous published data, in obstetric practice, there are no clear recommendations for the effective management of multiple pregnancy at different stages of gestation, depending on fertilization ? spontaneous or as a result of assisted reproductive technology. The algorithm is a multiple pregnancy antenatal care should be based on the early formation of the risk of preterm birth and possible development of perinatal complications. However, there are some controversial issues concerning the diagnosis and management of these women require a more thorough study of occurrence of these pregnancies, identify risk factors and optimization tactics of pregnancy and childbirth.