[2011, amended 2019], 1.1.12 Do not use 3‑dimensional (3‑D) ultrasound scans to determine chorionicity and amnionicity. Offer additional appointments without scans at 16 and 34 weeks. Was it a natural transfer? Also see the section on preventing preterm birth. 1.4.29 Refer the woman to her named specialist obstetrician for multiple pregnancy in her second or third trimester for further assessment and monitoring if: the amniotic sac of 1 baby has a DVP depth in the normal range and. I had my scan today and we got a HUGE surprise. . Twins are a 1.5% chance and triplets are a 0.4% chance of happening from a single IVF embryo transfer. , 1.4.26 Use ultrasound assessment, with a visible amniotic membrane within the measurement image, to monitor for feto-fetal transfusion syndrome. For definitions of 'suspicious' and 'pathological' cardiotocograph traces, see the table on management based on interpretation of cardiotocograph traces in NICE's guideline on intrapartum care for healthy women and babies. I researched this a bit due to my personal experience conceiving triplets via IUI and only found one known instance of an IVF embryo splitting three ways. . I had a positive HCG quant 10 days post-transfer, and it nearly tripled hours later. All 3 babies have separate amniotic sacs. 1.13.1 Start assessing the risk of postpartum haemorrhage in women with a twin or triplet pregnancy in the antenatal period and continue throughout labour and the third stage (see the section on risk factors for postpartum haemorrhage in NICE's guideline on intrapartum care for healthy women and babies). , 1.1.9 Training should cover ultrasound scan measurements needed for women who book after 14+0 weeks and should emphasise that the risks associated with twin and triplet pregnancy are determined by chorionicity and not zygosity. Also, some mothers may have an intuitive feeling that they are pregnant with multiples. To assess amniotic fluid levels, measure the deepest vertical pocket (DVP) on either side of the amniotic membrane. Include doppler assessment of the umbilical artery flow for each baby. DC triplets: the separate fetus can pose some technical problems in selecting the appropriate site … , 1.10.5 Offer an individualised assessment of mode of birth to women in suspected, diagnosed or established preterm labour before 26 weeks. I'm not saying it will happen for you but just so you are prepared for this type of conversation, More posts from the InfertilityBabies community. , 1.4.25 Offer diagnostic monitoring for feto-fetal transfusion syndrome to women with a monochorionic twin or triplet pregnancy. 1.11.2 Explain to the woman that continuous cardiotocography is used to monitor the babies' heartbeats and her labour contractions, and that: it allows simultaneous monitoring of both babies, normal traces show the babies are coping well with labour; if traces are not normal, there will be less certainty about the babies' condition, it is normal to see changes to the fetal heart rate pattern during labour and this does not necessarily mean there is a problem, findings from the cardiotocograph are used to help make decisions during labour and birth, but these will also be based on her wishes, her condition and that of her babies.