BACKGROUND The COVID-19 pandemic required rapid implementation of virtual antenatal care to keep pregnant women safe. This transition from face-to-face usual care had to be embraced by patients and professionals alike. OBJECTIVE We evaluated patient and professional’s experience with virtual antenatal clinic appointments during the COVID-19 pandemic, to determine satisfaction and enquire into the safety and quality of care received. METHODS A total of 148 women who attended a virtual antenatal clinic appointment at our UK tertiary obstetric care centre over a two-week period provided feedback (62% response rate). A further 37 health care professionals (HCP) delivering care in the virtual antenatal clinics participated in another questionnaire study (82% response rate). RESULTS We showed that women were highly satisfied with the virtual clinics, with 86% rating their experience as good/very good, and this was not associated with any statistically significant differences in age, ethnicity, number of previous births or pregnancy loss(es) (p>0.05). Even though, 56% preferred face-to-face appointments, 44% either expressed no preference or preferred virtual, and these preferences were not associated with significant differences in patient demographics (p>0.05). For HCP, 67% rated their experience of virtual clinics as good/very good; 78% described their experience as the same or better than face-to-face clinics; 15% preferred virtual clinics and 44% had no preference. Importantly, 67% found it easy/very easy to adapt to virtual clinics. Over 90% of HCP agreed virtual clinics should be implemented long-term. CONCLUSIONS Our study demonstrates high satisfaction with telephone, antenatal clinics during the pandemic, which supports the transition towards widespread digitalisation of antenatal care, suited to twenty first century patients and professionals. CLINICALTRIAL N/A

Uterus didelphus is a congenital abnormality arising from failure of fusion of Mullerian ducts, creating two separate uterine horns, two cervices and, in some cases, a vagina divided by a longitudinal septum. In this case, a 26-year-old woman with previously undiagnosed uterus didelphus spontaneously conceived dicavitary twins. Although initially wanting a vaginal birth, when both twins were in a breech presentation, a caesarean section was performed at 36 weeks, delivering two healthy babies. We will discuss the risk of obstetric complications in uterus didelphus and the challenges surrounding a vaginal delivery.