Incidence of Vaginal Delivery versus Caesarean Section in Twin Pregnancy in Primigravida and Its Maternal and Fetal Outcome.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
BACKGROUND : Multiple gestations are becoming a problem of increasing dimensions with a dramatic increase in numbers in the last decade due to pregnancy at older age and widespread use of assisted reproductive technology Objectives :To study the incidence of vaginal delivery versus caesarean section in twin pregnancy in primigravida. To study maternal and fetal outcome in twin pregnancy among primigravida. METHODS : A Prospective observational study carried out in the Department of Obstetrics and Gynaecology, Sri Venkateswara Medical College, Tirupati conducted over one year from October 2017 to September 2018. RESULTS : In one year, total of 11,242 deliveries were conducted and amongst them 48 were twin pregnancies in primigravida, giving an incidence of 4.26%. Incidence of twin pregnancy in primigravida is more common in the age group of 21-25 years (62.5 %). Preeclampsia was found to be the most common medical disorder (70.8%)., followed by anemia in 13 cases (27.1%). LSCS was the most common mode of delivery for 31 patients (64.6%), followed by vaginal delivery in 17 patients(35.4%). In majority of cases, indication for LSCS was 1st twin non cephalic presentation. Perinatal mortality rate of monchorionic pregnancy was 4.6% and dichorionic pregnancy was 3.48% CONCLUSION : Twin pregnancy is a high risk pregnancy with increased incidence of antenatalī and intrapartum complications like anemia, preeclampsia, gestational diabetes milletus, polyhydramnios, premature rupture of membranes, antepartum haemorrhage, post-partum hemorrhage, preterm labour, cord prolapse and fetal complications like prematurity, low birth weight, IUGR, discordant growth, NICU admissions etc.
Authors and Affiliations
Dr. S. V. Mobeen Taj, Dr. S. Jayasri
Keywords
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- EP ID EP572108
- DOI 10.9790/0853-1804026571.
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