Association of sociodemographic factors with multiple births and birth outcomes in comparison to single births among deliveries conducted at a tertiary hospital in Rewa, Madhya Pradesh

Tomar, Shashi Prabha; Kushwah, SS; Kushwah, Avadhesh Pratap Singh

doi:10.4103/2230-7095.137614

Cited by 5 publications

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“…The prevalence of twin gestation in an Indian population was reported from 5/1000 to 29/1000 birth by Deepthi et al and Tomer SP et al respectively. 14,15 Although it was thought that prevalence of multiple births is more in advanced age group due to more use of fertility treatment and rise in follicle stimulating hormone concentration with age. However, in this study, 86.9% of multiple gestations were found in the age group of 21-30 years.…”

Section: Discussionmentioning

confidence: 99%

Maternal complications in twin pregnancy; recent trends: a study at a tertiary care referral institute in Northern India

Dubey

Mehra

Goel

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: This study aims to determine the maternal complications in twin pregnancy in North Indian population at tertiary institute.Methods: This was a retrospective cohort review of multiple pregnancies after 20 weeks gestation at a tertiary teaching hospital (2011-2015). Maternal data was collected from the labor room delivery data entry register and patient’s admission file. Patients with diabetes mellitus and chronic hypertension were excluded from the study.Results: Out of 19539 births during this period, 432 were twin pregnancies with an incidence of 22/1000 birth. Most of them were 282 (65.4%) were referred patients. Eighty seven percent patients were in the age group of 21-30 years and primigravida contributed to 45.7% of total patients. Maternal complications noticed were as preterm deliveries in 304 (70%), anaemia in 259(60%) patients, preterm rupture of membranes in 120 (39.4%) patients, hypertensive disorders of pregnancy in 122(28.3%) patients, cholestasis of pregnancy in 24(5.5%) of patients, hypothyroidism in 22(5.1%) of patients, antepartum hemorrhage (APH) in 20(4.6%) and gestational diabetes mallitus (GDM) in 08(1.8%) of patients. Among postpartum complications, atonic postpartum haemorrhage (PPH) was observed in 44 (10.2%) and maternal mortality happened in 02(0.46%) cases.Conclusions: This study reveals higher percentage of, preterm labor, anaemia, and gestational hypertension than other studies. More number of intensive care unit should be established in high prevalence areas to prevent perinatal mortality due to prematurity. Treatment of anaemia requires more aggressive approach by considering intravenous iron whenever compliance is in doubt. Frequent antenatal care is required for early diagnosis of these complications to prevent maternal and fetal morbidity.

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Section: Discussionmentioning

confidence: 99%

Maternal complications in twin pregnancy; recent trends: a study at a tertiary care referral institute in Northern India

Dubey

Mehra

Goel

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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“…Chances of having preeclampsia are elevated in multifetal pregnancies and can lead to further complications that can even cause the detachment of the placenta. 18…”

Section: Pre-eclampsiamentioning

confidence: 99%

“…19 Anaemia In multifetal pregnancies the nutritional needs of the baby are increased twice or thrice more than a singleton pregnancy, thereby making the mother prone to anaemia. 18…”

Section: Postpartum Haemorrhagementioning

confidence: 99%

“…These babies are usually given life support in the neonatal care units until considerable growth is achieved. 18…”

Section: Premature Babiesmentioning

confidence: 99%

“…A medical condition called 'vanishing twin syndrome' occurs whenShelke PS et al Int J Basic Clin Pharmacol. 2020 Apr;9(4):674-682 International Journal of Basic & Clinical Pharmacology | April 2020 | Vol 9 | Issue 4 Page 677one of the two babies in a twin pregnancy fail to survive 18.…”

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Twin pregnancy a complicating journey for both mothers and babies: elaborate review

Shelke¹,

Jagtap²

2020

Int J Basic Clin Pharmacol

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Pregnancy, also known as gestation, is the time during which one or more offspring develops inside a woman. A multiple pregnancy involves more than one offspring, such as with twins. Pregnancy can occur by sexual intercourse or assisted reproductive technology. A pregnancy may end in a live birth, abortion, or miscarriage, though access to safe abortion care varies globally. Research shows that 10 percent to 15 percent of all singleton births may have started off as twins; often one is lost early in pregnancy in a phenomenon known as "vanishing twin syndrome." Multiple pregnancy occurs when two or more ova are fertilized to form dizygotic (non-identical) twins or a single fertilised egg divides to form monozygotic (identical) twins. In the U.S, about three in every 100 pregnant women give birth to twins or triplets, according to the Mayo Clinic in Rochester, Minn. And by many accounts, twin pregnancies are on the rise. This review provides a blessful information to understand what happening when expecting twins and also help to cope with pregnancy related complications and give twins the best start in life.

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Multiple Gestations: Neonatal and Maternal Characteristics

Budh,

Sinha,

Agrawal

et al. 2024

Journal of Neonatology

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Introduction: Multiple gestation neonates are commonly found in older age women along with increasing use of assisted reproductive techniques. They are at an increased risk of complications and also impose financial, emotional, social, and psychological burdens on the family. There is a paucity of studies on multiple gestations in India, hence this study was conducted to evaluate the clinical profile and associated comorbidities in neonates born through multiple gestations which can help in anticipating, preparing, and managing possible complications. Methodology: This was a prospective observational study conducted in a Level III neonatal intensive care unit of a tertiary care hospital. All intramural neonates delivered with multiple gestations were included. Data regarding the antenatal, perinatal, and hospital course of the neonates were documented. Results: A total of 75 intramural neonates (36 twins and 1 triplet) were enrolled in the study. About 67.6% were delivered via caesarean section and 81.1% were spontaneous conception. The most common maternal complications observed were hyperemesis gravidarum (56.76%) followed by pregnancy-induced hypertension (PIH) (40.54%). About 80% of twin neonates were diamniotic dichorionic (DADC) and 42% of twin neonates had vertex-vertex presentation. Almost 22.7% of neonates required neonatal resuscitation and 98% had a birth weight <2.5 kg. Initiation of breastfeeding was delayed, and longer hospital stay was observed in preterm neonates with birth weight ≤1.5 kg and birth weight discordance. Conclusion: Multiple gestations are associated with significant neonatal complications owing to prematurity and low birth weight. Thorough knowledge of these complications helps in better fetal and neonatal surveillance and prevention of adverse outcomes.

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Association of sociodemographic factors with multiple births and birth outcomes in comparison to single births among deliveries conducted at a tertiary hospital in Rewa, Madhya Pradesh

Cited by 5 publications

References 0 publications

Maternal complications in twin pregnancy; recent trends: a study at a tertiary care referral institute in Northern India

Maternal complications in twin pregnancy; recent trends: a study at a tertiary care referral institute in Northern India

Twin pregnancy a complicating journey for both mothers and babies: elaborate review

Multiple Gestations: Neonatal and Maternal Characteristics

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