The key for the treatment of prematurity is early diagnosis of a multiple gestation through ultrasound. Once the diagnosis is made, many steps can be introduced to optimize the outcome of the pregnancy. The best treatment available to prevent prematurity is decreased activity, which means modified bedrest from about 24 weeks on. In addition, patients should be taught the signs of preterm labor and should be encouraged to drink large amounts of fluid. Close monitoring of the cervix for early changes is a critical component to mom's doctor visits.
Physicians now use ultrasound to measure the cervix as opposed to frequent vaginal exams.
Overall, the best way to contend with the obstetrical hazards of multiple gestations is to seek proper and early prenatal care.