Multiple pregnancy

Most of this is directed at secondary care. Things that may impact on us:

Anaemia

Do a FBC at 20 to 24/40, then again at the normal 28/40. This is because multiple pregnancies carry a higher risk of anaemia and folate deficiency.

Aspirin for pre-eclampsia

Multiple pregnancy is a risk factor for pre-eclampsia. Therefore, if they also have any of the following risk factors, advise use of 75mg Aspirin OD from 12/40 until term:

  • First pregnancy
  • Age ≥ 40
  • BMI ≥ 35
  • Pregnancy interval of more than 10 yrs
  • FHx of pre-eclampsia

NB – this is an unlicensed use

Louise Hudman

I'm a freelance GP locum in Winchester & Southampton locum chambers, and Pallant Medical Chambers Clinical Guidelines Lead Partner.

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