How Should We Manage Twin and Triplet Pregnancies? - Cancelled

Joint RCOG/NCC-WCH Meeting

Unfortunately this event has been cancelled as there has not been sufficient interest for the meeting to go ahead.

Please note that this event is taking place on 13 March 2012 and not 23 March 2012, which was mistakenly printed in Practising Midwife. Please accept our apologies for any confusion caused.

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For any queries regarding this event, please contact:
Kim Helm
Tel: +44 (0) 207 772 6468
Email: khelm@rcog.org.uk  

Overview

The incidence of multiple births has risen in the last 30 years. In 2009, 16 women per 1000 giving birth in England and Wales had multiple births compared with 10 per 1000 in 1980. This rise is due mainly to the increased use of assisted reproduction techniques, including in vitro fertilisation (IVF). Up to 24% of successful IVF procedures result in multiple pregnancies. Multiple births currently account for 3% of live births.

Multiple pregnancy is associated with higher risks for the mother (including miscarriage, anaemia, hypertensive disorders haemorrhage, operative delivery and postnatal illness) and babies (congenital abnormality, preterm delivery, growth restriction, feto-fetal transfusion syndrome and fetal death). In general, maternal mortality associated with multiple births is 2.5 times that for singleton births.

This new NICE guideline contains recommendations specific to twin and triplet pregnancies in the following clinical areas:

• Optimal methods to determine gestational age and chorionicity
• Appropriate specialist care
• Maternal and fetal screening programmes to identify structural abnormalities, chromosomal Abnormalities, fetal growth restriction and feto-fetal transfusion syndrome
• Indications for referral to a tertiary level fetal medicine centre
• Timing of birth

The guideline also advises how to give accurate, relevant and useful information to women with twin and triplet pregnancies and their families, and how best to support them.

Why attend?

• In order that you will be able to
• Understand how the key management priorities in multiple pregnancy were made
• Discuss the implications for clinical practice in both primary and secondary care settings
• Understand the issues relating to implementation
• Claim a maximum of 6 CPD Credits for full attendance at this meeting.

Who Should Attend?

This guideline is of relevance to those who work in or use the NHS in England, Wales and Northern Ireland, in particular:

Healthcare professionals involved in the care of women with twin and triplet pregnancies

• Trainees and consultants in obstetrics and gynaecology
• Midwives
• Ultrasonographers
• Paediatricians, especially those involved with the management of women with twin and triplet pregnancies
• Staff Doctors, staff grades, trust doctors and associate specialists

Those responsible for commissioning and planning healthcare services, including primary care trust commissioners, Health Commission Wales commissioners, and public health and trust managers

Course Organiser

National Collaborating Centre for Women’s and Children’s Health (NCC-WCH)

Honorary Director of Conferences

Miss Ranee Thakar MD MRCOG, Croydon