STUDY OF MATERNAL AND FOETAL OUTCOME IN TWIN PREGNANCY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 6
Abstract
BACKGROUND In comparison to singleton pregnancies, twin pregnancies are considered a high risk pregnancies associated with perinatal mortalities and maternal morbidities due to unnecessary use of ovulation induced drugs. The aim of the study is to evaluate the maternal and foetal outcomes in twin gestations and to find the various factors that contribute to adverse perinatal outcome. MATERIALS AND METHODS This study was carried out in Laxmi Narasimha Hospital, Warangal, Hanamkonda, Telangana, an over a period of May 2015 to August 2016. RESULTS Most of the women were in their fertile age i.e. in between 20-30 years of age (86.6%). In both primigravida and multigravidas, the twins were equal. Preterm labour complications were seen in 88.8% of the patients and PIH was seen in 11.2% of the patients. Anaemia was the most common mal-presentation seen in the patients which constituted to 33.3%. Number of patients who underwent mode of delivery through spontaneous vaginal section were 60 which constituted 66.7%, caesarean section were 25 which constituted 27.7%, instrumental vaginal section were 5 which constituted 5.6%. The number of patients who had the foetal birth weight <1500 grams were 59 which constituted 32.8%, between 1500 grams to 2000 grams were 66 which constituted 36.6%, >2000 grams were 55 which constituted 30.6%. The number of male babies were 110 (61.1%) and female babies were 70 (38.9%). Number of live births were 170 (94.4%), still births were 10 (5.6%). Number of patients admitted in ICU were 100 (55.6%), Neonatal morbidity was seen in 38 patients (21.1%), neonatal mortality was seen in 10 patients (5.6%). The most common cause of neonatal death was septicaemia followed by respiratory distress, pulmonary distress and DIC. CONCLUSION This study concluded that deaths were majorly due to extremely premature and very low birth weight babies. These babies had septicaemia or respiratory distress. By averting pre-term births, by taking good rest, cervical encerclage, when incompetence is suspected, short term tocolysis, prevention of anaemia and pre-eclampsia, glucocorticoid administration can prevent these deaths.
Authors and Affiliations
Burri Sandhya Rani, Tolety Vijaya Lakshmi
Keywords
Related Articles
- EP ID EP454072
- DOI 10.18410/jebmh/2018/98
- Views 75
- Downloads 0
PATTERN OF ACUTE CHILDHOOD POISONING – A RETROSPECTIVE STUDY IN ABHA CITY
BACKGROUND Childhood poisoning is a major cause of morbidity and mortality in both developing and developed countries. The objectives of the study are to assess the pattern, causes, frequency and formulate measures to in...
RISK FACTORS AND OUTCOME ANALYSIS IN CASES OF UNSTABLE ANGINA
BACKGROUND Unstable angina depends on the presence of one or more of the following three historical features- 1. Crescendo angina (more severe, prolonged or frequently) superimposed on a pre-existing relatively stable, e...
PROLONGED PATCHING AN UNCOMMON CAUSE FOR ORBITAL MYIASIS
PRESENTATION OF CASE A case of orbital myiasis in a 68-year-old lady with complete ocular destruction without co-existing systemic disorder, immune compromise or malignancy is reported. Detailed history revealed prolonge...
STAPPLER HAEMORRHOIDECTOMY IS SAFE AND EFFECTIVE FOR III AND IV GRADE HAEMORRHOIDS
Hemorrhoidectomy is one of the most commonly performed anorectal operations. The present study was designed to compare the results of stapler haemorrhoidectomy (SH) with Milligan- Morgan open Hemorrhoidectomy (OH). We ev...
INCIDENCE OF NON-ALCOHOLIC HEPATIC FATTY INFILTRATION IN WOMEN WITH POLYCYSTIC OVARY SYNDROME
To evaluate the prevalence of non-alcoholic fatty infiltration in women with PCOS. MATERIALS AND METHODS: A prospective study in which 162 women with Polycystic ovarian syndrome (PCOS) and 165 healthy controls who were a...