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Management of Multiple Pregnancy

Start: 06/11/2017 08:30
End: 06/11/2017 16:30

Location: RCOG


The incidence of multiple pregnancy is rising, secondary to the use of assisted reproductive techniques. Multiple pregnancy is associated with increased maternal and perinatal mortality and morbidity.

The maternal mortality is 2.5 times higher in twin, compared to singleton, pregnancies. Almost 50% of twin pregnancies deliver before 37 weeks’ gestation. Many clinicians who are confident when managing complicated singleton pregnancies feel uneasy caring for women with multiple pregnancy.

A recent survey has shown that the level of familiarity with the NICE guideline on “Antenatal Management of Multiple Pregnancy” is poor and implementation suboptimal. It will provide a comprehensive update on the management of multiple pregnancy and all sessions will have dedicated time for audience interaction.

Learning Objectives

After attending the meeting, you will:

  • Be familiar with the NICE guidance on the antenatal management of multiple pregnancy
  • Understand the role of the midwife and sonographer in the Specialist Multiple Pregnancy Clinic.
  • Be up-to-date with new advances in the prenatal diagnosis and management of complicated multiple pregnancy
  • Increase the level of knowledge involved in the care of these women
  • Promote a multidisciplinary approach to the management of women with multiple pregnancy
  • Gain expertise and confidence in managing multiple pregnancy
  • Appreciate the roles and interaction of the multidisciplinary team members

Who should attend?

  • Trainees and Consultant in Obstetrics and Gynaecology
  • Staff Doctors, Staff Grades, Trust Doctors and Associate Specialists
  • GPs
  • Midwives
  • Sonographers

Course organisers

Ms Asma Khalil MRCOG, London

Professor Basky Thilaganathan FRCOG, London

Honorary Director of Conferences

Mr Nick Panay FRCOG, London

Honorary Deputy Director of Conferences

Mr Philip Toozs-Hobson FRCOG, Birmingham

Course fees

The registration fee (inclusive of online discount and VAT at 20%) for this event is:

  • Standard rate: £330.00
  • Fellow, Member and Associate rate: £280.00
  • Trainee rate: £225.00
  • Allied Healthcare Professional rate: £150.00

How to book

  1. Sign into the RCOG website or create your account here – you need to be registered with the RCOG website to book on to an event
  2. Check that your card billing address is listed in ‘My account’ > ‘My details’ > ‘Addresses’, as you will need this in order to complete your booking
  3. Check that your details are correct in ‘My account’ > ‘My details’ > ‘Career stage’, as we will use this to calculate your registration fee
  4. Return to this page
  5. Scroll down to the bottom of the page to find the booking form, which will appear once you are logged in

Alternatively, you can book using the postal booking form, although if you book using this method you will not receive the online discount.

If you would like your hospital or trust to be invoiced for your place, please read the events FAQs for further details.

For any queries regarding this event, please contact:

Andreia Dias, Conference Coordinator:





Welcome and introduction

Ms Asma Khalil, Consultant in Fetal Medicine, St George’s Hospital, London

Session I

Chair: Mr Keith Reed, Chief Executive, Twins and Multiple Births Association (TAMBA)


Antenatal management of multiple pregnancy: NICE and RCOG guideline

Professor Mark Kilby -  Professor of Fetal Medicine, Birmingham University Hospital


Fetal growth restriction in multiple pregnancy

Ms Asma Khalil -  Consultant in Fetal Medicine, St George’s Hospital, London


Twin to twin transfusion syndrome vs twin anaemia polycythaemia sequence – similarities and differences

Dr Dick Oepkes





Session II

Chair: Mrs Jane Denton, Director, The Multiple Births Foundation (MBF), Queen Charlotte’s and Chelsea Hospital, London


Screening for aneuploidy and structural abnormalities in multiple pregnancy

Dr Liesbeth Lewi, Consultant Obstetrician and Gynaecologists, University Hospitals, Leuven, Belgium


Preterm birth in multiple pregnancy – prediction and prevention

Professor Zarko Alfirevic


Timingof delivery in twin pregnancy: new eevidence

Professor Basky Thilaganathan, Director, Fetal Medicine Unit,

St Georges University Hospitals NHS Foundation Trust, London




LUNCH (2 course standing fork lunch)

Session III

Chair: Ms Asma Khalil


Maternal Fetal Medicine cases in multiple pregnancy: Case Discussion

Dr Surabi Nanda, Consultant Obstetrician and Maternal Fetal Medicine, Liverpool Women’s Hospital, Liverpool


Do we need to follow up twins after birth?

Professor Enrico Lopriore, Professor of Neonatology, Leiden University Medical Centre, The Netherlands


The role of the midwife in multiple pregnancy

Mrs Sandra Bosman, Specialist Midwife for Multiple Pregnancies,

Newcastle upon Tyne Hospitals NHS Foundation Trust




The role of the sonographer/multidisciplinary team

Ms Kathryn Cook, Lead Sonographer in Fetal Medicine Unit,

St George’s University Hospital NHS Foundation Trust,London


Intrapartum care of multiple pregnancy

Mr Edwin Chandaharan, Labour Ward Lead, St George’s Hospital, London


Mode of delivery in twin pregnancy: panel discussion

Professor Basky Thilaganathan

Ms Asma Khalil

Mr Edwin Chandaharan

Dr Liesbeth Lewi



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