Multiple pregnancy: twin and triplet pregnancies

Quality statements

Statement 1 Women with a multiple pregnancy have the chorionicity and amnionicity of their pregnancy determined using ultrasound and recorded between 11⁺² weeks and 14⁺¹ weeks.

Statement 2 Women with a multiple pregnancy have their fetuses labelled using ultrasound and recorded between 11⁺² weeks and 14⁺¹ weeks.

Statement 3 Women with a multiple pregnancy are cared for by a multidisciplinary core team.

Statement 4 Women with a multiple pregnancy have a care plan that specifies the timing of appointments with the multidisciplinary core team appropriate for the chorionicity and amnionicity of their pregnancy.

Statement 5 Women with a multiple pregnancy are monitored for fetal complications according to the chorionicity and amnionicity of their pregnancy.

Statement 6 Women with a higher-risk or complicated multiple pregnancy have a consultant from a tertiary level fetal medicine centre involved in their care.

Statement 7 Women with a multiple pregnancy have a discussion by 24 weeks with one or more members of the multidisciplinary core team about the risks, signs and symptoms of preterm labour and possible outcomes of preterm birth.

Statement 8 Women with a multiple pregnancy have a discussion by 28 weeks with one or more members of the multidisciplinary core team about the timing of birth and possible modes of delivery so that a birth plan can be agreed.