Perinatal Outcome in Twin Pregnancy
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 5
Abstract
Background: Multiple pregnancy poses definite risks not only to the mother, but also to the fetuses. Despite improvement in obstetric and neonatal care, risk to the new born remains at least 3 times more than that of singletons. The main contributor to the increased incidence of perinatal mortality and morbidity in twins is prematurity. It is therefore not surprising that the increase in neonatal death in twins is proportionately greater than fetal death. Other problems are fetal mal presentations and the complication of shared fetal circulation in monizygotic twins. Objectives: To determine the perinatal mortality of twin pregnancies Materials and Methods: This is a descriptive study conducted in SUT Medical college Vattappara and SRMC Medical college for a period of one year. 200 cases of twin pregnancies beyond 28 weeks of gestation admitted during this period was included in the study group. Pregnancies with more than 2 fetuses were excluded from the study. The perinatal outcome of the babies were analyzed based on the gestational age, birth weight, Apgar scores at birth, NICU admission, still births, intrauterine deaths and neonatal deaths. Results: Perinatal mortality in twin pregnancy in the present series is 11% and this was 3 to 4 times higher than that of singleton pregnancy. Conclusion: Despite advances in Obstetrics and Gynaecology, the perinatal mortality of twins still remains high, three to four times higher than that of singleton. There is clearly a direct relationship between the morbidity and mortality of multiple gestations and the significantly high rate of preterm deliveries, as well as increased incidence of small for gestational age babies associated with these pregnancies.
Authors and Affiliations
Dr R. Simi
Keywords
Related Articles
- EP ID EP285193
- DOI -
- Views 94
- Downloads 0
Spectrum of Congenital CNS Malformations in Children with Seizure Disorder
Introduction: Developmental malformations OF CNS are a complex group of congenital malformations often presenting with variable neurodevelopment dysfunction and seizures. The etiology of most of these malformations is no...
Giant Cell Tumour of Tendon Sheath
Giant cell tumour of tendon sheath is a benign but locally aggressive and recurrent Neoplasm. Origination of this tumour is commonly from membrane of tendon sheath, bursa, and joints. Malignant behaviour is uncommon. The...
Comparative Study of Onlay and Pre-Peritoneal Mesh Repair in the Management of Ventral Hernias
Introduction: Ventral hernias is major problem in surgical practice and occurs in up to 11% of patients undergoing laparotomy. Argument for the ideal surgical procedure for placing mesh continues to be unsolved. Hence th...
Prognostic Role of High Sensitivity C- Reactive Protein in Acute Myocardial Infarction
Background: C reactive protein (CRP) is an acute phase protein, whose concentrations increase during inflammatory states.CRP, a marker of inflammation has been shown to predict incident MI, stroke, peripheral arterial di...
Determination of Maternal Weight Gain and Fetal Outcome in Relation to Pre-pregnant Body Mass Index
Background: Worldwide there is increasing incidence of obesity among women and is related to adverse maternal pregnancy outcome such as Gestational hypertension, Gestational diabetes, Preeclampsia, cesarean section and o...