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Multifetal Pregnancy:
A Multidisciplinary Update

Children's Memorial Hermann CME

Through the advances in perinatal imaging and fetal diagnosis as well as the development of new guidelines for maternal nutritional needs and optimal weight gain, the landscape of prenatal care of multifetal pregnancies has changed.

Multifetal Pregnancies: A Multidisciplinary Update is aimed at providing prenatal healthcare providers with the current guidelines and best practices for management of multifetal gestations as well as for the detection and management of disorders unique to monochorionic pregnancies.

Course Objectives

  • Select appropriate prenatal genetic screening techniques, including noninvasive prenatal testing (NIPT), in multifetal pregnancies based on evidence based medicine
  • Implement the new ACOG and SMFM standards for ultrasound diagnosis, screening and management of multifetal pregnancies
  • Adopt current protocols for management of maternal nutritional needs in multi-fetal pregnancies
  • Apply ethical principles to the management of clinical-ethical challenges related to the complications unique to multifetal pregnancies
  • Identify related risks for preterm labor in multifetal pregnancies to decrease occurrences and improve outcomes
  • Adopt evidence based protocols for timing and mode of delivery based on chorionicity and other associated complications unique to multifetal pregnancies

Topics Presented

All presentations are in pdf format and viewable with Adobe Acrobat Reader.  All rights reserved to the original authors. If you have any questions about the presentations, please email

If you would like to receive communications about future Children's Memorial Hermann education events, click here to contact us.

Maternal Complications in Multifetal Gestation - Karolina Adam, M.D.
Maternal Fetal Medicine - Houston Perinatal Associates

Multiple Gestations and Delivery:  Timing, Mode of Delivery and Potential Complications - Robert Carpenter, M.D.
Associate Professor, Department of Ob/Gyn, Baylor College of Medicine

Ethical Dimensions of Multiple Pregnancies - Frank Chervenak, M.D.
Given Foundation Professor and Chair, Department of Ob/Gyn, Weill Cornell Medical Center, New York

Laser Therapy for Twin-Twin Transfusion Syndrome:  Is it the end of the story? - Helena Gardiner, M.D.
Co-director, Fetal Cardiology Program, The Fetal Center
Professor, Department of Ob/Gyn and Reproductive Sciences and Department of Pediatric Cardiology, McGovern Medical School at UTHealth

Prenatal Screening for Major Fetal Malformations in Multiple Pregnancies - Jennifer Hoskovec, C.G.C.
Assistant Professor, Division of Maternal-Fetal Medicine; Director, Prenatal Genetic Counseling Services, UTHealth

Ultrasound Imaging in Multifetal Pregnancies: Its' More than Chorionicity - Anthony Johnson, D.O.
Co-director, The Fetal Center
Professor, Division of Maternal-Fetal Medicine, McGovern Medical School

Neonatal Outcomes of Multiple Gestations - Suzanne Lopez, M.D.
Associate Professor, Division of Neonatal-Perinatal Medicine, McGovern Medical School

Improving Outcomes in Multiple Births - Barbara Luke, Sc.D., M.P.H.
Professor, Department of Ob/Gyn and Reproductive Biology, Michigan State University

Multiple Gestations: Related Risks and the Prevention of Preterm Births - George Saade, M.D.
Chief of Obstetrics and Maternal-Fetal Medicine, UTMB Galveston

Iatrogenic Twins:  Too Much of a Good Thing? - Josh Skorupski, M.D.
Director of Genetics and Oncofertility, The Houston Fertility Institute

Open Fetal Surgery for Myelomeningocele - Michael Bebbington, M.D.
Director, Prenatal Diagnosis and Fetal Imaging, The Fetal Center
Professor, Division of Maternal-Fetal Medicine, McGovern Medical School

Continuing Education Credits

For Physicians: Options for generating a Memorial Hermann Hospital System CME transcript
  • Visit the MHHS PhysicianLINK (MHHS physicians and employees only)
  • Visit
    Under Healthcare Professionals | Education and Outreach | Continuing Medical Education | Search for your credits
  • Upon request at (713) 338-5914.

For Nurses: Options for generating a CEU transcript

Email Maria Hutchinson