Implementation of NICE twin guideline was associated with >70% reduction in stillbirth without a concomitant increase in neonatal mortality, admission to the neonatal unit or emergency Caesarean section. The reduction observed in monochorionionic twins was higher than that in dichorionic twins. What are the clinical implications of this work? Reduction in stillbirth in twins can be achieved through implementation of guidelines The reduction in stillbirth in twins represents a promising step towards achieving the UK national target of reducing stillbirths by 50% by 2025 National mortality reports should report the twin data separately in dichorionic and monochorionic pregnancies.
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