Comparative assessment of fetomaternal outcome in twin pregnancy with singleton pregnancy at tertiary care centre

Abstract

INTRODUCTIONMultiple pregnancy remains one of the highest risk situations for the mother, foetus and neonate despite recent advances in obstetrics, perinatal and neonatal care. Twin pregnancies have increased rates of obstetric and perinatal complications compared to singletons such as risk of miscarriage, pre-eclampsia, post-partum haemorrhage, preterm labour, iron and folic acid deficiency anemia, polyhydramnios, discordant foetal growth, abnormal vascular communications, foetal malformations, cord complication, still births and increased rate of caesarean section.1 Although twins occur in approximate 1 in 80 pregnancy, they account for 12.2% of preterm births and 15.4% neonatal death. ABSTRACTBackground: Multiple pregnancy remains one of the highest risk situations for the mother, foetus and neonate despite recent advances in obstetrics, perinatal and neonatal care. Twin pregnancies have increased rates of obstetric and perinatal complications compared to singletons Objective of present study was comparative assessment of fetomaternal outcome in twin pregnancy with singleton pregnancy in Obstetrics and Gynaecology Department of S.M.S. Medical College, Jaipur. Methods: This was a hospital based, prospective observational study done in the Department of Obstetrics and Gynaecology. S.M.S. Medical College, Jaipur from April 2015 to March 2016. 150 women with twin pregnancy and 150 women with singleton pregnancies at gestation age of 28 weeks and above coming for delivery and consented for the study were included in the study. Women with chronic medical disorder or chronic hypertension were excluded from the study. Maternal and neonatal outcome recorded and analysed. Results: Occurrence of twin in our study was 2.82%. Risk of preterm labour was about nine times higher in twin pregnancies than the singleton (OR: 2.74, 95% CI; 1.4494-5.1884, P value 0.001). The risk of premature rupture of membrane was increased by 2.74 times in twin pregnancies (OR:2.74; 95% CI: 1.4494-5.1884, p value .001). There was 3-time increased risk of malpresentation (OR 3.14; p value .00002) and 2.28 times increase in hypertensive disorder (OR 2.28; 95% CI: 1.0727-4.8823, p value .03) in twin pregnancies. The risk of asphyxia and septicaemia was 2.5 times more in twins. Conclusions: Twin pregnancy is a high-risk pregnancy with more complications in mother and foetus and is a great challenge for obstetrician. So, it should be managed carefully at tertiary care centre to reduce the maternal and perinatal mortality and morbidity.

Study of maternal and perinatal outcome in twin pregnancy at a tertiary care hospital

“…The corresponding incidence was reported in the study by Rami et al (2019) 47.7% in primipara and 52.3% in multipara otherwise According to study by Lata et al (2017), the incidence of twin pregnancy was 70.7% in multigravida and 29.3 % in primigravida. 18,14 The rate of cesarean section in the delivery of twin pregnancies was (54%). Chaudhary et al reported cessarian section rate of 67.4%, Mehta CV et al (2020) 63.3%, Arora et al 20.32%, Bangal et al 33%.…”

Foetomaternal outcome in multifoetal pregnancy in a tertiary rural teaching hospital

“…In India, twining occur approximately 1% of all pregnancies and has been reported to be responsible for 10% of all perinatal mortality. 5 Multifoetal gestation though accounting for only a lesser percentage of live births, are known to account for a ABSTRACT Background: Aim of the study was to find out foeto-maternal outcome of multifoetal pregnancy in relation to chorionicity and to analyse the associated risk factors. Methods: This study was a prospective observational study on multifoetal pregnancy conducted at Midnapore medical college and hospital.…”