Study Of Maternal And Perinatal Outcome In Twin Pregnancy In A Tertiary Care Hospital

Authors

Dr. Bhavika Goswami, Dr. Seema Patel, Dr. R. Krishna Suraj, Dr Harsh Dhorajia Author

Keywords:

Multiple Pregnancy, Dizogygotic Twins, feto-maternal Complications, infertility Treatment, twin to twin transfusion, IUGR, Perinatal morbidity.

Abstract

Introduction: Study of maternal and perinatal outcome in twin pregnancy admitted
and delivered in GMCH. Evaluation of problems of multi-fetal pregnancy in relation
to maternal age, birth weight, method of delivery etc.
Method: This is a retrospective study that has been done in GMCH Udaipur, which
included all pregnant females admitted in antenatal ward and labour room with
clinical or USG diagnosis of twin pregnancy after 28 week of gestation. The
maternal and foetal outcomes have been collected and noted as per records.
Results: In this study majority of the patients delivered before 32 weeks and had
birth weight <1.5kg making prematurity as the most common cause of LBW.
Administration of corticosteroids in all cases of imminent preterm deliveries reduced
the respiratory complications and NICU stay.
Conclusion: The perinatal mortality can be significantly reduced if we are able to
achieve a birth weight of more than 1.5kg. Thus regular antenatal care, planned
delivery and dedicated NICU care can reduce the perinatal morbidity and mortality
of twin pregnancy.