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Table 5 Agree-Rex Quality Assessment by Domain (% Clinical Practice Guideline)

From: Clinical practice guidelines for the antenatal management of dichorionic diamniotic twin pregnancies: a systematic review

Title

Reference no

Domain 1: Clinical applicability (%)

Domain 2: Values and preference (%)

Domain 3: Implementability (%)

Recommended for use1

Toward Optimised Practice (TOP) Clinical practice guideline: Ultrasound for twin and multiple pregnancies (2017).

[48/51]

Fair (33%)

Poor (4%)

Fair (44%)

YWM

ACOG- Multifetal Gestations: Twin, Triplet, and Higher Order Multifetal Pregnancies. Practice Bulletin No. 231 (2021).

[47]

Average (50%)

Fair (21%)

Poor (17%)

YWM

ACOG- Multifetal pregnancy reduction. Committee opinion No. 719 (2017).

[45]

Fair (33%)

Fair (21%)

Poor (8%)

YWM

ACR, Multiple Gestations (2017).

[44]

Good (72%)

Fair (25%)

Poor (17%)

YWM

Ãœberwachung und Betreuung von Zwillingsschwangerschaften (Screening, management, and delivery in twin pregnancy) (2020).

[32]

Good (72%)

Fair (25%)

Fair (33%)

YWM

Grossesses gemellaires (Twin pregnancies): guidelines for clinical practice from the French College of Gynaecologists and Obstetricians (2019).

[27]

Average (50%)

Fair (25%))

Fair (33%)

YWM

Tvillinger - håndtering af graviditet og fødsel (twins- handling pregnancy and childbirth) (2010).

[30]

Average (44%)

Poor (4%)

Fair (25)

YWM

Tvillinger – Håndtering af fødslen (Twins- handling the birth) (2020).

[31]

Fair (39%)

Poor (8%)

Fair (25%)

YWM

FIGO Committee Report: GCP advice, management of twin pregnancy (2019).

[29]

Poor (17%)

Poor (8%)

Poor (17%)

YWM

FIGO Role of ultrasonography in the management of twin gestation (2018).

[34]

Fair (22%)

Poor (4%)

Poor (17%)

YWM

Twin pregnancy, South Australia (2018).

[28]

Fair (39%)

Poor (8%)

Poor (8%)

YWM

HSE, Management of multiple pregnancy (2012).

[42]

Average (44%0

Poor (8%)

Fair (25%)

YWM

ISPD International Society for Prenatal Diagnosis Position Statement: cell free (cf.)DNA screening for Down syndrome in multiple pregnancies (2021).

[46]

Fair (33%)

Poor (0%)

Fair (25%)

YWM

ISUOG Practice Guideline: Role of ultrasound in twin pregnancy (2016).

[9]

Good (78%)

Fair (21%)

Poor (17%)

YWM

Daugiavaisis nestumas (Multiple pregnancy) (2014).

[49]

Fair (39%)

Fair (25%)

Average (50%)

YWM

NICE, Twin and Triplet Pregnancy (2019).

[41]

Good (78%)

Good (63%)

Average (58%)

Yes

New South Wales Government- Management of monochorionic twin pregnancy (2020).

[36]

Average (42%)

Poor (0%)

Average (46%)

YWM

RANZCOG, Best Practice Statement: Management of monochorionic twin pregnancy (2021).

[38]

Average (50%)

Average (42%)

Average (50%)

YWM

RCOG, Green-top Guideline 51: Management of monochorionic twin pregnancy (2016).

[39]

Good (61%)

Fair (21%)

Fair (25%)

YWM

Gestatione della gravidanza multipla (Management of multiple pregnancy) (2016).

[40]

Good (61%)

Poor (17%)

Fair (33%)

YWM

SMFM Special Statement: Updated checklists for management of monochorionic twin pregnancy (2020).

[37]

Average (50%)

Fair (29%)

Average (50%)

YWM

SMFM Special Statement: State of the science on multifetal gestations: unique considerations and importance (2020).

[43]

Poor (17%)

Poor (0%)

Poor (0%)

YWM

SOGC-Guideline No. 262: Prenatal screening for diagnostics of aneuploidy in twin pregnancies (2011).

[35]

Good (78%)

Fair (21%)

Fair (25%)

YWM

SOGC- Guideline No. 260: Ultrasound in twin pregnancies (2011)

[33]

Good (61%)

Poor (17%)

Fair (25%)

YWM

  1. 1Recommended for use abbreviations: yes (Y), yes with modifications (YWM) and no (N)