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