Study of Maternal and Perinatal Outcomes in Multiple Pregnancy
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 6
Abstract
Background: Multiple gestations or multiple pregnancies occur when two or more fetuses are conceived at the same time in the same woman, it can either be a monozygotic or dizygotic pregnancy. Multiple gestations are associated with increased maternal and fetal complications. Aim of the study: To study the perinatal outcome and maternal complications that can occur due to multiple pregnancies and hence take appropriate measures to have a better outcome. Materials and methods: This is an observational study of patients with multiple pregnancyadmitted in our hospital from January 2015 to September 2016.All the patients admitted in ANC ward and labor room with multiplegestation from January 2015 to September 2016.Complete history was taken including the history of multiple pregnancyin the previous pregnancy or in the family and history of taking ovulationinduction drugs was recorded.Clinical examination was done, fetal lie and presentation was noted. Results: We observed that the majority of subjects in the study were in the age group of 21 to 30 years [ 81.2%]. . In case of twin 1, mean birth weight of babies born between 28-32 weeks was 1.37 kg, mean birth weight of babies born between 33-36 weeks was 1.8 kg, and mean birth weight of babies born beyond 37 weeks was 2.1 kg. in case of twin 2, mean birth weight of babies born between 28-32 weeks was 1.3 kg, mean birth weight of babies born between 33-36 weeks was 1.6 kg, and mean birth weight of babies born beyond 37 weeks was 2.1 kg. Significant association was observed between parity and anemia, PPH. 40.7% of Multigravida and 11.5% of primigravida had anemia as complication, and 25.9% of multigravida and none in primigravida had PPH as complication. Conclusion: We conclude that perinatal mortality was more in babies delivered between 28- 32 weeks due to respiratory distress syndrome. Due to proper ANC care, timely admission and intervention we were able to avoid complications like eclampsia, obstetric hysterectomy due to postpartum hemorrhage, ICU admission and maternal mortality.
Authors and Affiliations
Saubhagya Bhajantri, Raviraj P Gondkar
Keywords
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