Prof Ranjit Akolekar
Consultant in Maternal & Fetal Medicine and Obstetrics
Complex Twin Pregnancies involve additional maternal or fetal risks requiring specialist antenatal care. Complications may include twin-to-twin transfusion syndrome, selective fetal growth restriction, preterm birth and complications associated with shared placental circulation. Assessment includes determining chorionicity, regular ultrasound surveillance and planning appropriate interventions or delivery. Independent expert witnesses can provide opinions on screening, monitoring, referral, treatment decisions, clinical standards and causation in Clinical Negligence proceedings involving twin pregnancies.