Standards of perinatal care for multiple pregnancies

摘要

Aims: To audit the Labour and Delivery set of standards published by the Regional Maternity Survey Office (RMSO), North East of England, in their document Standards of Care for Multiple Pregnancies (July 2009).ududMethods: A retrospective audit involving all 28 multiple pregnancies between June 2009 and June 2010 was conducted at the Obstetrics Department of the Cumberland Infirmary, Carlisle. A proforma was devised to collect the data.ududResults: Ten monochrionic diamniotic twins and 18 dichorionic diamniotic twins were born during the audited period. Overall, personalised care was provided to parents in all 28 cases, although a predelivery meeting with the parents could not always take place because of premature deliveries. The chorionicity of the twins was not always determined postnatally and recommended drugs for 3rd stage of labour were not used.ududConclusions: The high rates of premature labour and delivery in mothers who carry twins mean that some guideline recommendations are hard to comply with.ududRecommendations: Systematically analyse placentas by histology and report to RMSO the findings regarding timing of pre-delivery meetings with parents and medication used during 3rd stage of labour.