Gestation

Question 1

Ideal time to deliver

1-Uncomplicated…GDM
2-Uncomplicated…NIDDM/IDDM

Answer 1

40+6 days

37-38 weeks

Question 2

Ideal time to deliver

3-complicated….GDM
4-complicated….NIDDM/IDDM

Answer 2

37 weeks

Question 3

16 weeks

Answer 3

start scan MC twins

Question 4

20 weeks

Answer 4

Anamoly scan

Question 5

Offer women with twin and triplet pregnancies a first trimester ultrasound

Answer 5

45 mm to 84 mm (at approximately 11 weeks 0 days to 13 weeks 6 days

Question 6

uncomplicated MC DA twin antenatal appointments

Answer 6

At least nine antenatal appointments with HCP from core team. At least two of these appointments should be with specialist obstetrician.

• Combine appointments with scans when CRL (45 mm to 84 mm = 11 weeks 0 days to 13 weeks 6 days) and then at estimated gestations of
• 16,
• 18,
• 20,
• 22,
• 24,
• 28,
• 32 and
• 34 weeks.

Question 7

uncomplicated MC DA twin antenatal appointments

Answer 7

At least NINE antenatal appointments with HCP from core team. At least two of these appointments with specialist obstetrician.

1 - Combine appointments with scans when CRL (45 mm to 84 mm = 11 weeks 0 days to 13 weeks 6 days)

and then at estimated gestations of 
2 - 16, 
3 - 18, 
4 - 20, 
5 - 22, 
6 - 24, 
7 - 28, 
8 - 32 and 
9 - 34 weeks. 

• Delivery:elective birth 36+0 weeks
• Beyond 38+0 weeks: risk of fetal death

Question 8

uncomplicated DC DA twin antenatal appointments

Answer 8

At least EIGHT antenatal appointments with HCP from core team. At least two of these appointments with specialist obstetrician.

1 - Combine appointments with scans when CRL (45 mm to 84 mm = 11 weeks 0 days to 13 weeks 6 days)

and then with SCAN at estimated gestations of 
3 - 20, 
4 - 24, 
5 - 28, 
6 - 32 and 
8 - 36 weeks. 

additional appointments without scans at 16 and 34 weeks

• Delivery:elective birth 37+0 weeks
• Beyond 38+0 weeks: risk of fetal death

Question 9

38 weeks

Answer 9

• continuing uncomplicated twin pregnancies beyond 38 weeks 0 days increases the risk of fetal death.

Question 10

37+0 weeks

Answer 10

DCDA: Offer elective birth

Question 11

36+0 weeks

Answer 11

MCDA: Offer elective birth

Question 12

Offer women with uncomplicated:

Triplet birth
MC twin elective birth
DC twin elective birth

Answer 12

Offer women with uncomplicated:

• from 35 weeks 0 days, after corticosteroids
• from 36 weeks 0 days, after corticosteroids
• from 37 weeks 0 days

Question 13

uncomplicated MC TA & DC TA triplet pregnancies

Answer 13

At least ELEVEN antenatal appointments with HCP from core team. At least two of these appointments with specialist obstetrician.

1 - Combine appointments with scans when CRL (45 mm to 84 mm = 11 weeks 0 days to 13 weeks 6 days)

and then with SCAN at estimated gestations of 
2 - 16, 
3 - 18, 
4 - 20, 
5 - 22, 
6 - 24, 
7 - 26, 
8 - 28
9 - 30 
10 - 32 and
11 - 34 weeks.  
(additional appointments: 26 & 30)

• Delivery:elective birth 35+0 weeks after corticosteroids
• Beyond 36+0 weeks: risk of fetal death

Question 14

uncomplicated TC TA triplet pregnancies

20, 24, 28, 32 and 34 weeks

Answer 14

At least SEVEN antenatal appointments with HCP from core team. At least two of these appointments with specialist obstetrician.

1 - Combine appointments with scans when CRL (45 mm to 84 mm = 11 weeks 0 days to 13 weeks 6 days)

and then with SCAN at estimated gestations of 
2 - 20, 
3 - 24, 
4 - 28
5 - 32 and
6 - 34 weeks.  

7 - additional appointment without a scan at 16 weeks.

• Delivery:elective birth 35+0 weeks after corticosteroids
• Beyond 36+0 weeks: risk of fetal death

Question 15

35 weeks

Answer 15

Offer birth to uncomplicated MC TA, DC TA & TCTA triplet