Ultrasound in
Multiple Pregnancies
Women’s Health Care
Live Webinar

Women’s Health Care Live Webinar | June 15 2022, 7 pm (CEST) / 1 pm (EDT) (1.5h)

Ultrasound in Multiple Pregnancies

The number of multiple pregnancies is increasing over the last couple of years mainly due to increasing maternal age and assisted reproduction.

These pregnancies are at higher risk for complications and poor outcomes compared to singleton pregnancies. This can be for example premature labor and birth, gestational hypertension, pre-eclampsia, gestational diabetes, placenta abruption, fetal growth restriction, or even fetal death. Chorionicity of the pregnancy determines different risk levels and surveillance. Especially monochorionic pregnancies can develop severe complications like TTTS and TAPS.

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  • Early ultrasound in twins to predict pregnancy outcome – Prof. Franz Bahlmann
  • Ultrasound imaging of TTTS and TAPS and their management – Dr. Monique Haak
  • Guidelines on routine monitoring of twins – Prof. Asma Khalil
  • Live Q&A

Why should you attend ?
  • Increase your knowledge on the use of ultrasound in multiple pregnancies and management in case of TTTS and TAPS
  • Learn about guidelines to monitor multiple pregnancies
  • Get practical tips from experts
  • Participate in the live Q&A to find answers to your own questions regarding multiple pregnancies


Speaker & Moderator: Prof. Asma Khalil, MD, MBBCh, MRCOG, MSc(Epi), DFSRH, Dip(GUM)
Professor of Obstetrics and Maternal-Fetal Medicine
St. George’s Hospital, University of London
London, United Kingdom

Director of Fetal Medicine Unit
Liverpool Women’s Hospital
Liverpool, United Kingdom

Asma Khalil is a Professor of Obstetrics and Maternal-Fetal Medicine. She gained her MD at the University of London in 2008. She also has a Master’s degree in Epidemiology from the London School of Hygiene & Tropical Medicine.

She is committed to the implementation of clinical guidelines in practice. She is the Lead author of the ISUOG guideline on the role of ultrasound in twins. She also led the guideline team in developing the FIGO guideline on twin pregnancies. She was a member of the NICE Guideline Committee updating the Twin and Multiple Pregnancy guidance.

Prof. Asma Khalil has published more than 400 peer-reviewed papers, and many published review articles and chapters. She was awarded many research prizes, both at national and international meetings. Her research interests include twin pregnancy, fetal growth restriction and hypertensive disorders in pregnancy.

Presentation title: Guidelines on Routine Monitoring of Twins
Twin pregnancies are associated with increased perinatal mortality and morbidity. The risk of stillbirth is twice as high compared to that of singleton pregnancies. There are no accurate prognostic markers to help identify the pregnancies which will develop complications, in particular, twin to twin transfusion syndrome, fetal growth restriction and intrauterine death. Ultrasound monitoring has been shown to help in the early diagnosis, assessment of severity and triaging antenatal surveillance of these pregnancies. According to the ISUOG guideline, twin pregnancies should have regular ultrasound monitoring; the protocol differs according to the chorionicity.

Speaker: Prof. Franz Bahlmann, MD, PhD
Chief Physician of the Women's Clinic - Center for Ultrasound Diagnostics and Prenatal Medicine (DEGUM III)
Citizens' and Clementine Children’s Hospital,
Frankfurt am Main, Germany

Prof. Bahlmann started his study at the Friedrich-Alexander University of Erlangen-Nuremberg in 1982, where he also received his doctorate in 1992. In 2003 he started his training program for obstetrics and gynecology. His special interest is obstetrics and prenatal medicine and especially twin pregnancies. In 2003 he qualified as a professor. The subject was "Colour-coded representation of the Doppler frequency spectrum of the ductus venosus in the context of physiological and pathophysiological fetal development". In the same year, he acquired the highest ultrasound training level DEGUM III.
He has been a chief doctor at the Bürgerhospital since 2004. It’s the biggest clinic with the highest birthrate in Hessen. Last year, more than 4400 women gave birth in Professor Bahlmann's clinic. This includes more than 250 twins. He is also specialized in fetoscopic laser therapy with round about 30-35 lasers per year

Presentation title: Early Ultrasound in Twins to Predict Pregnancy Outcome
First trimester screening in multiple pregnancies with qualified prenatal counseling, detailed ultrasound and maternal factors has become the basis for perinatal management. In twin pregnancy, early determination of chorionicity and amnionicity is essential to find out the risk for twin-twin transfusion syndrome, selective fetal growth restriction and twin anemia polycythemia syndrom in case of monochorionic twins. In the last three decades it was clearly shown that the rate of fetal loss rate below 24 weeks in monochorionic twins was five- to sixfold higher than to dichorionic twins. Early detection of these complications by intensive monitoring optimize the antenatal monitoring and the time of intrauterine therapy like fetoscopic laser surgery. Further early detection of major abnormalities are essential for planning the prenatal and perinatal management.

Speaker: Dr. Monique Haak, MD, PhD
Fetal-maternal medicine consultant, fetal surgeon and head of obstetric ultrasound
Leiden University Medical Center (LUMC)
Leiden, the Netherlands

Dr. Monique Haak is an MFM consultant and fetal surgeon. She studied medicine at the University of Groningen (doctorate in 1996). She obtained her PhD at the VU University of Amsterdam on increased nuchal translucency and congenital heart defects and trained as a gynecologist and MFM at the VU University Medical Center. Since 2011 she is a fetal surgeon at the LUMC. Her focus is on both fetal therapy and pregnancies with fetal cardiac defects. LUMC has one of the largest services in the world for TTTS and other complications in monochorionic twin pregnancies.
Dr. Haak published over 150 peer-reviewed papers and is a frequently invited speaker at international congresses and is a teacher in various ultrasonography courses.

Presentation title: Ultrasound Imaging of TTTS and TAPS and Their Management.
Monochorionic twin pregnancies carry a significant risk of adverse outcomes of pregnancy. Timely detection of TTTS, sIUGR and TAPS is of utmost importance to make the outcome of these pregnancies as good as possible. The ultrasonographic differences between these phenomena are not always easy. The differences will be shown with several examples, including complications of surgical treatment.

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