CME Credit Available
This activity offers
0.75 Category 1-B AOA
0.75 AMA PRA Category 1 Credits™

About

Twin pregnancies, accounting for approximately 3% of all live births in the United States, pose significantly higher risks to both maternal and fetal health compared to singleton pregnancies. Women with twin gestations are over six times more likely to deliver preterm and face a 13-fold higher risk of delivery before 32 weeks, leading to complications such as neonatal respiratory distress syndrome, intraventricular hemorrhage, and long-term neurodevelopmental issues. Proper identification of chorionicity—whether the pregnancy is dichorionic or monochorionic—is vital to predicting and managing risks. Monochorionic pregnancies, which involve a single placenta, carry heightened risks, including twin-to-twin transfusion syndrome (TTTS), a condition affecting 10-15% of these pregnancies and associated with fetal morbidity and mortality. Failure to diagnose and manage TTTS promptly can result in the loss of one or both fetuses or severe long-term complications.

Maternal complications such as preeclampsia, gestational diabetes, and postpartum hemorrhage are also more common in twin pregnancies. Low-dose aspirin is recommended to prevent preeclampsia, while nutritional counseling and early glucose screening are essential for preventing gestational diabetes. Timely and appropriate antenatal monitoring, including regular growth ultrasounds and the use of antenatal corticosteroids for preterm labor risk, are critical for optimizing outcomes. Failure to adhere to evidence-based guidelines can result in increased perinatal mortality, morbidity, and unnecessary cesarean deliveries. Thus, understanding and implementing comprehensive care strategies for twin pregnancies is essential to reducing these significant risks.

Faculty
Rupesh Patel, DO, FACOOG

Dr. Patel is a board-certified specialist in Maternal and Fetal Medicine with expertise in telematernal care. He is affiliated with Hendrick Medical Center and provides cutting-edge care to high-risk pregnancies using both in-person and telemedicine approaches. Dr. Patel completed his medical education at the Chicago College of Osteopathic Medicine and pursued advanced training with a residency at John H. Stroger Hospital of Cook County and fellowships at Rockford Memorial Hospital and Pinnacle Health Hospitals.

With over a decade of experience, Dr. Patel is dedicated to improving outcomes for mothers and their babies, offering personalized care for complex pregnancies. His commitment to telemedicine allows him to extend critical maternal care services to patients in underserved or remote areas, making high-quality healthcare more accessible. Through his affiliation with Hendrick Medical Center, he continues to integrate advanced technology and compassionate care in his practice

Learning Objectives
Those participating in this activity will receive information that should allow them to:

• Identify key complications associated with twin pregnancies, including the risks of preterm birth, hypertensive disorders, and twin-to-twin transfusion syndrome (TTTS).
• Differentiate between the types of chorionicity in twin pregnancies (dichorionic/diamniotic and monochorionic/monoamniotic) and their impact on pregnancy management.
• Apply evidence-based guidelines for antenatal care and monitoring of patients with twin pregnancies, including recommendations for ultrasound evaluations, screening for preeclampsia, and timing of delivery.

Conflict of Interest Disclosures
ACOOG requires each planner and presenter to identify all conflicts of interest, and mitigates risk of bias using a series of strategies for relevant conflicts. Unless otherwise noted below, the ACOOG, ACOOG staff and planners for this activity have no relevant financial relationships to disclose.

Dr. Patel has no relevant relationships with ineligible companies to disclose. 

Release & Review Date
This activity is valid between December 10, 2024 and December 31, 2024.

System Requirements
An internet connected device (computer or mobile device) with high speed access is required. It is designed to work on most popular web browsers. JavaScript and cookies should be enabled in your browser in order for the activity to properly work. If you're experiencing technical issues, please update your browser, and clear your browsing history, cookies, and cache. This often solves most common technical issues.

Requirements for Successful Completion
To successfully complete this activity, participants must:

• Complete the pre-test
• Read the text-based content
• Pass the post-test (70% or greater)
• Complete the activity evaluation
• Claim credit

A certificate will be immediately available.

Commercial Support
This activity is not commercially supported.

CME Accreditation
The American College of Osteopathic Obstetricians and Gynecologists is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians.

The American College of Osteopathic Obstetricians and Gynecologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

CME Credit Designation
The American College of Osteopathic Obstetricians and Gynecologists designates this program for a maximum of 0.75 AOA Category 1-B credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.

The American College of Osteopathic Obstetricians and Gynecologists designates this enduring activity for a maximum of 0.75 AMA PRA Category 1 Credits™.

Physicians should only claim credit commensurate with the extent of their participation in the activity.

ACOG Cognate Credit(s)
The American College of Osteopathic Obstetricians and Gynecologists designates this activity for Category 1 College Cognate Credits. Maximum Cognates are equal to the number of  maximum AMA PRA Category 1 Credits^TM . A reciprocity agreement with the AMA exists that allows AMA PRA Category 1 Credits^TM to be equivalent to ACOG Cognate Credits.

NPs, PAs & CNMs
The American Academy of Nurse Practitioners Certification Board (AANPCB) recognizes activities approved for Category 1-A credit through the American Osteopathic Association and Category 1 AMA PRA Category 1 Credits™ as providing advanced practice CE content hours for applicants seeking renewal through continuing education credit.

The National Commission on Certification of Physician Assistants (NCCPA) recognizes activities approved for Category 1-A credit through the American Osteopathic Association and AMA PRA Category 1 Credits™ as Regular Category 1 CME for national certification maintenance.

The Certificate Maintenance Program of the American Midwifery Certification Board accepts AMA PRA Category 1 Credits™ to satisfy its contact hours requirement. 

All NPs, PAs, CNMs and other health professionals participating in this activity will receive a certificate of completion commensurate with the extent of their participation in the activity. ACOOG strongly recommends all non-physician health professionals check with their certification/licensing organizations to confirm credit reciprocity.

Disclaimer
This activity is offered by the American College of Osteopathic Obstetricians and Gynecologists (ACOOG) for educational purposes only. Every patient case is different, and physicians must rely on their medical knowledge, experience, and relationships with patients to make clinical decisions. This material is not intended to represent the best or only methods or procedures appropriate for the condition discussed; rather the material is intended to present an approach, view, statement or opinion of the authors or presenters, which may be helpful, or of interest to other practitioners. Physician judgment must remain central to the selection of diagnostic tests, management strategies, therapy options, and follow-up of a specific patient's medical condition.

Use of Artificial Intelligence
The closed captions and summaries provided in this content are automatically generated by artificial intelligence (AI). While AI can enhance accessibility and comprehension, it is not infallible and may produce errors. Please keep this in mind as you engage with and apply the content. 

Grievances
Any registrant finding evidence that the continuing medical education program presented is inappropriate with regard to facilities, materials, content, or observes any unacceptable promotion by a commercial interest in the same room as the educational activity, whether by company representative or presenter, may submit a grievance in writing to ACOOG, PO Box 17598, Fort Worth, TX 76102. Unresolved issues regarding this activity will require a formal written complaint to the AOA Division of CME, 142 East Ontario Street, Chicago, IL 60611.

Privacy Policy
This activity complies with ACOOG’s privacy policies.

Data Use
Data collected as part of this activity may be analyzed as part of educational research to study the effectiveness of educational interventions on health care, population health, health care providers and others, or to identify additional needs and gaps for future interventions.

Refunds
Refunds are not available for this educational product.