The research basis for prevention of preterm delivery in twin gestations

(1) The purpose of this review is to explore interventions to improve the preterm delivery (PTD) rate in twin gestations. The increased mortality rate of twin gestations is strongly associated with low birth weight and PTD. Current evidence-based interventions such as specialized, comprehensive care by a consistent provider (such as an advanced practice nurse) should be implemented. Research is still needed for improved early detection and interventions to decrease risk factors for PTD. Nursing research is challenged to further develop interventions to improve perinatal outcomes in twin gestations and to decrease the burdens of premature delivery for our nation.