NICE Guidelines

There are relatively new guidelines for the "treatment" of women who are pregnant with twins so I thought I'd have a read, even though we're outside the UK and the remit of the NHs and therefore adherence to NICE is more "good practice" than a requirement from what I can make our.
These are the bits I thought might prove useful in sorting out what I should be receiving in terms of care...

• Multidisciplinary tean of named specialist Obstetricians, Midwives and sonographers with experience of managing twin pregnancies.
• Screening for intrauterine growth restriction from 20 weeks - do not undertake scans at more than 28 days apart*
• Offer elective birth - c-section or induction at 37 weeks
• Full blood count at 20-24 weeks, repeated at 28 weeks.
• Be aware of higher incidence of anaemia
• Dichorionic twins, scans at 20, 24, 28, 32 and 36 weeks
• Consider prescribing aspirin form 12 weeks

* I'm assuming this means they should be done at least every 28 days...

With all that in mind I rang and left a message for the community midwives to try to establish just what my appointment schedule out to be from their point of view...

When the midwife rang back she read through some of their protocol while on the phone and yes, I should have had a scan 2 weeks ago, and another at 28 weeks, and then 32 and 36. Not the 30 week one I've had an appt through for.

She's got my file and called back.


We had quite a chat and she promised to speak to the consultant's PA and come back to me next day.


Two days later she called back, most apologetic for the delay, she hadn't had the answers from the PA and had therefore called my consultant herself.


I would be hearing about an appointment for a 28 week scan in the next couple of days!


Well worth calling then!