Scenario 1 •Sarah is a 40 year old primigravida who conceived naturally and has been given the news that she is expecting MCDA twins. She is currently 10 weeks pregnant, a non- smoker, BMI 29, vegetarian and attends clinic with her partner Robin. Sarah wishes to discuss how she can stay healthy, the screening tests for fetal anomalies with twin pregnancies and place of birth options•What information would you discuss with Sarah and her partner•What is your role as the midwife?•Consider the following: Physiology•Physical factors•Social factors•Economic factors•Evidence/research

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