Study of the effect of chorionicity on neonatal outcome in twin gestation
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 8, Issue 2
Abstract
Background: Twin pregnancy is significantly related to increased maternal and fetal morbidity and mortality as compared to singleton pregnancy. The rate of twin specific complications varies in relation to zygosity and chorionicity, with the latter being the more important determinant. Design: Prospective observational study Aims and Objective: to study the effect of chorionicity on neonatal outcome in twin gestation Methods: 75 Patients with sonographically confirmed twin pregnancy attending ante-natal care outpatient department (ANC OPD) and labor room at a tertiary care hospital were enrolled in this study and followed till delivery and thereafter in the neonatal period. Results: In this study, 97% of monochorionic twins were less than 2500 grams while 68% of the dichorionic twins were low birth weight. 86.67% of the monochorionic twins delivered before term while 73.33% of the dichoronic twins delivered preterm. 26% of the monochorionic twins required NICU admission whereas 19% of dichorionic twins required NICU admission. Perinatal deaths were 26.6% in monochorionic twins while 15.8% in dichorionic twins. Conclusion: Twinning in pregnancy is a high-risk factor which can cause various maternal as well as fetal complications. Monochorionic twins had more perinatal complications than dichorionic twins. Prompt antenatal care and timely intervention is required to avoid these complications.
Authors and Affiliations
Swati Kagne, Sambhaji Chate
Keywords
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- EP ID EP470498
- DOI 10.26611/10128215
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