Abstract
Introduction: The prevalence of multiple births has been increasing due to widespread use of assisted reproductive techniques and advancing maternal age at conception. Twin pregnancy is considered a high risk pregnancy due to associated high maternal morbidity and perinatal mortality.
Objective:
To study the maternal and the fetal outcome in twin pregnancy at a tertiary care teaching hospital, Jaipur.
Methods:
This descriptive observational study was conducted in the Obstetrics and Gynaecology Department, S.M.S. Medical College, Jaipur from January to June 2014. All women with twin pregnancy of more than 28 weeks admitted in the labour room were recruited in the study after obtaining written informed consent. Various demographic features, complications of pregnancy, maternal and neonatal outcome were recorded and analyzed. Results:
Occurrence of twin pregnancy was 2.82%. Mean age of the women was 28.4 ± 5.7 years and mean gestational age at the time of delivery was 34.36 ± 2.24 weeks. Commonest foetal presentation was both twins in cephalic presentation. Premature labour was the commonest problem observed in 60.7% cases followed by anemia (48%), pregnancy induced hypertension (29%). Prematurity, septicemia, respiratory distress syndrome, pulmonary haemorrhagewere the common cause of perinatal death. Mean Perinatl Mortality Rate was 264.5 per 1000 birth.
Conclusion:
Multiple pregnancies present numerous challenges for the obstetrician from conception onwards, until the timing and mode of delivery. All of these high-risk pregnancies require careful consideration with regard to the management of their specific complications at a higher center.