Study of Maternal and Perinatal Outcome in Twin Pregnancy at a Tertiary Care Hospital: An Observational Study

Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 9

Abstract

Multiple pregnancies are associated with increased maternal and neonatal complications. The present study aims to understand the maternal and perinatal outcomes of multiple pregnancies delivering at a tertiary care hospital of Northern India. The observational study was conducted in the department of obstetrics and gynecology, Sardar Patel Medical College and Hospital, Bikaner over a period of six months (Feb 2018 to August 2018). It included all women admitted in antenatal ward and labor room with clinical or ultrasound diagnosis of twin pregnancy after 28 weeks of gestation. The incidence of twins in this study was 0.89%. Twins were seen more in multigravidas(53.17%) as compared to primigravidas (46.83%). Preterm labour (79.74%) and anemia (74.68%) were the commonest obstetric complications, whereas hypertensive disorders (16.45%) and PPH (13.92%) were other common complications in twin pregnancies. The rate of caesarean section was 40.50%. There were 36 perinatal deaths. Extreme prematurity and very low birth weight mainly contributed to Perinatal mortality Respiratory distress, neonatal sepsis and DIC were the common causes of neonatal deaths. Early diagnosis of twin gestation with its chorionicity, regular antenatal checkups, early diagnosis and management of obstetrical complications, good diet, cervical encerclage in selective cases, maternal gluco-corticoids therapy in preterm labour, short term tocolysis, institutional delivery and better neonatal care facilities at hospital can improve the maternal and perinatal outcome in twin pregnancy.

Authors and Affiliations

Anita Sharma

Keywords

Related Articles

Immediate Effects of Tendoachilles Stretch on Balance in Geriatric Population - An Experimental Study

Background and Objective: Balance is a major concern in Geriatric population which makes the vulnerable to falls and secondary complications of falls leading to high rates of morbidity and mortality.(1,2) Hence, this pre...

Unusual Presentation of a Rare Disease

Wilson disease is a rare inherited disorder that is characterized by the accumulation of copper in the body. Because high levels of copper are toxic to tissues and organs, this build up can lead to damage of the liver, b...

A 3 Year Study of Rupture Uterus at a Tertiary Hospital

Objectives: To evaluate risk factors, type and site of rupture, management, maternal and perinatal outcome and to identify preventive measures at our institute. Methods: A retrospective study carried out at Government me...

Comparative Evaluation of Antibiotic Prophylaxis in Caesarean Section before Skin Incision and after Cord Clamping

Caesarean section has been invariably associated with the use of antibiotics in post-operative period of a patient. It has been seen that caesarean delivery causes five to twentyfold increase in infection rates as compar...

MSSG: The Future of Community Based Geriatric Care

Communal efforts are better than individual efforts to move the wheel of time to future. • The Indian elderly who have been basked into nuclear family system from the traditional joint family system has not only become t...

Download PDF file
  • EP ID EP514887
  • DOI -
  • Views 61
  • Downloads 0

How To Cite

Anita Sharma (2018). Study of Maternal and Perinatal Outcome in Twin Pregnancy at a Tertiary Care Hospital: An Observational Study. Journal of Medical Science And clinical Research, 6(9), 288-292. https://europub.co.uk/articles/-A-514887