Multiple gestation

Multiple gestation — referral criteria for Obstetric services.

Eligibility

At least one must be met for the patient to be eligible for referral.

Clinically suspected or confirmed multiple gestation with initial primary-care work-up completed

Red flags

Indicate urgent (Category 1) referral or emergency assessment.

Twin-twin transfusion syndrome

Fetal death of a single monochorionic twin

Routine referral criteria

Determine Category 2 or 3 urgency.

Pregnancies involving triplets or more

Twin pregnancies with any of the following — monochorionic monoamniotic

Twin pregnancies with any of the following — monochorionic diamniotic (MCDA) twins when COGU or CMFM ultrasound unavailable

Twin pregnancies with any of the following — monochorionic diamniotic twins with discordant fetal growth (greater than 25 percent)

Twin pregnancies with any of the following — fetal anomaly

Twin pregnancies with any of the following — fetal death of a single twin

Twin pregnancies with any of the following — selective fetal growth restriction in a monochorionic twin pregnancy