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Multiple pregnancy: antenatal care for twin and triplet pregnancies [CG129]

Measuring the use of this guidance

Recommendation: 1.1.2.1

Determine chorionicity at the time of detecting twin and triplet pregnancies by ultrasound using the number of placental masses, the lambda or T-sign and membrane thickness.

What was measured: Proportion of women who reported they had the chorionicity and amnionicity of their pregnancy determined by 14 weeks.
Data collection end: July 2015
81.6%
Area covered: UK
Source: A Twins and Multiple Birth Association (TAMBA) - NCT Joint Report. Maternity Services and Multiple Births.


Recommendation: 1.2.2.1

Give women with twin and triplet pregnancies the same advice about diet, lifestyle and nutritional supplements as in routine antenatal care.

What was measured: Proportion of women who reported they received general advice regarding diet, lifestyle and nutritional supplements during pregnancy.
Data collection end: July 2015
60.6%
Area covered: UK
Source: A Twins and Multiple Birth Association (TAMBA) - NCT Joint Report. Maternity Services and Multiple Births.


Recommendation: 1.2.2.3

Perform a full blood count at 20–24 weeks to identify women with twin and triplet pregnancies who need early supplementation with iron or folic acid, and repeat at 28 weeks as in routine antenatal care.

What was measured: Proportion of women who reported they had full blood counts performed at 20-24 weeks pregnant and again at 28 weeks to screen for anaemia and other blood problems.
Data collection end: July 2015
76.4%
Area covered: UK
Source: A Twins and Multiple Birth Association (TAMBA) - NCT Joint Report. Maternity Services and Multiple Births.


Recommendation: 1.2.3.4

The core team should offer information and emotional support specific to twin and triplet pregnancies at their first contact with the woman and provide ongoing opportunities for further discussion and advice including: antenatal and postnatal mental health and wellbeing antenatal nutrition (see 1.2.2.1) the risks, symptoms and signs of preterm labour and the potential need for corticosteroids for fetal lung maturation likely timing and possible modes of delivery[6] breastfeeding parenting.

What was measured: The core team should offer information and emotional support specific to twin and triplet pregnancies at their first contact with the woman and provide ongoing opportunities for further discussion and advice including: antenatal and postnatal mental health and wellbeing antenatal nutrition (see 1.2.2.1) the risks, symptoms and signs of preterm labour and the potential need for corticosteroids for fetal lung maturation likely timing and possible modes of delivery[6] breastfeeding parenting.
Data collection end: July 2015
64.8%
Area covered: UK
Source: A Twins and Multiple Birth Association (TAMBA) - NCT Joint Report. Maternity Services and Multiple Births.


Recommendation: 1.7.1.1

Discuss with women with twin and triplet pregnancies the timing of birth and possible modes of delivery early in the third trimester.

What was measured: Proportion of women who reported discussing the likelihood of a caesarean or vaginal birth and timing of birth.
Data collection end: July 2015
86.6%
Area covered: UK
Source: A Twins and Multiple Birth Association (TAMBA) - NCT Joint Report. Maternity Services and Multiple Births.



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