Background: Twin pregnancies are found to be associated with greater risks to the mother and the babies. The normal length of gestation for an average pregnancy is around 40 weeks however in multiple pregnancies (twins, triplets, quadruplets, etc) it is usually shorter. Methods: A prospective observational study of women with twin pregnancy was carried out in a tertiary care hospital, in Maharashtra, from October 2020 to October 2022 with the purpose to assess the maternal and neonatal outcomes. 100 women with twin pregnancies who were registered to the hospital were selected for the study as per the inclusion and exclusion criteria. Results: 64% of women with twin pregnancies were in the age group of 21-30 years. Most of them had pregnancy as a result of the spontaneous type of conception. It was found that the vaginally delivered twins (20%) were at gestational age above 37 weeks and 8% at less than 32 weeks. 38% of twins were delivered by LSCS (elective LSCS 6% and emergency LSCS 38%). The gestational age at the time of delivery was found as 35-37 weeks (Mean ±SD 36 ± 1.2). 46% of neonates were shifted to NICU. The incidence of low birth weight and respiratory distress was more in babies born at 37 weeks and below. It was also observed that the as gestational age increased the perinatal deaths decreased. Conclusions: Regular follow-up of women with twin pregnancies is necessary for attainment of positive outcomes.

Introduction: Nondescent vaginal hysterectomy (NDVH) and total laparoscopic hysterectomy (TLH) are the two approaches used to perform a hysterectomy in a nonprolapsed uterus based on indication for surgery, size of the uterus, availability of types of equipment, skills of the surgeon, and patient’s preference. Each surgical approach has its own merits and demerits. Materials and Methods: A prospective and comparative study was conducted in the Department of Obstetrics and Gynaecology at a tertiary care center from December 2018 to November 2020 to compare the intraoperative and postoperative outcomes of NDVH and TLH. A total of 80 patients (40 in NDVH and 40 in TLH group) were calculated based on the average number of hysterectomies (mainly TLH). All patients admitted to the hospital for NDVH and TLH were selected based on the selection criteria. Results: The mean age group irrespective of the route of surgery is found to be within the age group of 41–45 years. The majority of the patients who were operated on were diagnosed to have fibroids as the main cause for their complaints followed by adenomyotic changes and hyperplasia. The mean blood loss of NDVH was found less as compared to TLH but not significant as P value >0.05. The mean number of days for a hospital stay for NDVH is 4.26, whereas the hospital stay for TLH patients was found to be 4.7 days that is greater as compared with NDVH. The most common complication irrespective of the type of surgery is urinary tract infection followed by pyrexia. Conclusion: Considering the outcomes and cost-effectiveness of both routes of surgery, it is found that nondescending vaginal hysterectomy is more advantageous over total laparoscopic hysterectomy.

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