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Twin pregnancy — DRCOG MCQ

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EasyAntenatal CareTwin pregnancyDRCOG

A 27-year-old woman has a dating scan at 10 weeks showing a twin pregnancy. She conceived spontaneously and has no medical problems. She asks whether routine community antenatal care is sufficient. When should this patient be referred?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Refer for specialist twin pregnancy antenatal care

Multiple pregnancy requires specialist antenatal care, including early determination of chorionicity and tailored surveillance. Standard low-risk schedules are insufficient because risks such as fetal growth restriction, preterm birth and twin-to-twin transfusion are higher. A single late scan would miss important surveillance opportunities. Chorionicity strongly influences monitoring and counselling.

Reference: NICE NG137; NICE NG201