Feto-maternal outcomes in twin pregnancy

Author: 
Harleen ., Sudesh Kumar., Neha Mahajan and Tarini Singh

Objectives: Incidence of twin pregnancy has been increasing and it is associated with increased feto-maternal complications. This study aims to study the maternal and fetal outcomes in twin pregnancy patients coming to a tertiary care facility.
Methods: This was an observational study conducted over a 6 month period, including all the pregnant females admitted for delivery with a gestational age ≥28 weeks. Maternal demographic and obstetrical data were recorded. Fetal outcomes were assessed by Apgar score and NICU admissions.
Results: During the study period there were a total of 12,712 deliveries. Out of these, 183 were twin deliveries that constitute 1.44 % of the total deliveries. Maximum patients were multigravida, preterm and had spontaneous onset of labour. The major complications were Hypertensive disorders of pregnancy in 27.87%, Preterm leaking in 16.94% and anaemia in 34.45% patients.
Out of the 366 babies born, 340 were live and 26 were IUD. Maximum babies were low birth weight (66.39%), 18.04% babies had low Apgar score and 23.77% were admitted to NICU post delivery.
Conclusion: Twin pregnancy is associated with increased risk of feto-maternal complications. Good and regular antenatal care and early detection of complications can decrease these risks.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2021.25696.5132
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