Feto-maternal outcome in twin pregnancy

Gajera, Amiben V.; Basavannayya, Hiremath P.; Kavitha, C; Hiremath, Reshma

doi:10.18203/2320-1770.ijrcog20151270

Cited by 9 publications

(17 citation statements)

References 3 publications

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“…In the present study we noticed that the maximum twin pregnancies were a result of spontaneous conception which was 75.2% followed by conceptions from ovulation induction with clomiphene citrate. Similar results were also noted in studies conducted by Amiben V. Gajera et al 5 57.3% of women never used any contraceptives, 30.8% used natural methods and 11.1% used barrier contraceptives. None of them used Oral Contraceptive Pills or Intrauterine Contraceptive Devices.…”

Section: Resultssupporting

confidence: 87%

Outcome in multifetal pregnancy - A cohort study

Jayaraj¹,

Remani²

2020

IJOGR

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Background and Objectives: Twin pregnancies remain a major health problem given the increased incidences of both maternal and foetal complications in the country. This study provides relevant clinical and public health information that will help the clinicians on how to manage multiple pregnancies and prevent complications. Purpose of the Study: 1. To determine maternal complications in multifetal pregnancy; 2. To determine the foetal and postnatal outcomes in multifetal pregnancy. Materials and Methods: Research approach and design -A Prospective and Retrospective Cohort study.

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Section: Resultssupporting

confidence: 87%

Outcome in multifetal pregnancy - A cohort study

Jayaraj¹,

Remani²

2020

IJOGR

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“…24 to 30 % was noticed by other workers. 11,12 PROM/PPROM was detected in twenty one (31.81%) women which was similar to Chowdery et al (38%). 13 80.30% women had preterm delivery (spontaneous or induced) while 70% and 67% was found by other authers.…”

Section: Discussionsupporting

confidence: 86%

Twin pregnancies: a retrospective analysis

Zanjade

Bezbaruah

Rai

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: This study aims to analyse the maternal and neonatal complications in twin pregnancy at tertiary institute.Methods: This was a retrospective study of multiple pregnancies after 26 weeks gestation at a tertiary teaching hospital between January 2020 to December 2020. Maternal and neonatal data was collected from the labour room delivery register and NICU records.Results: Out of 1212 births during this period, 66 were twin pregnancies with an incidence of 5.54%. Most of women had twinning after in vitro fertilisation (IVF) treatment (77.27%). Thirty-seven (56.06%) women were in the age group of 21-30 years and primigravida contributed to 63.63% of all twin pregnancies. Maternal complications most frequently noticed was hypertensive disorders of pregnancy in 27 (40.90%) women, Gestational diabetes mellitus (GDM) in 24 (36.36%) women, preterm rupture of membranes (PROM)/ preterm premature rupture of membranes (PPROM) in 21 (31.18%) women, Intrahepatic cholestasis of pregnancy (IHCP) in 4 (6.06%) women, hypothyroidism in 12 (18.8.1%) women and antepartum hemorrhage (APH) in 4 (6.06%). Caesarean section was performed on 49 (74.25%) women with abnormal presentation as indication in 18 (36.73%). 80.30% women had preterm delivery with 86 (65.15 %) neonates having NICU admission. There was no maternal mortality and 1 (1,16 %) perinatal mortality in NICU admitted neonates.Conclusions: This study reveals with increasing ART treatment the incidence of twin pregnancies is increasing along with its maternal complications like hypertensive disorders of pregnancy, GDM and preterm delivery. Frequent antenatal care for early detection of complications, multi-disciplinary approach is key for favourable outcome.

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“…This observation was comparable with Gajera et al, which showed 74% neonates with prematurity. 3 23% of first twin and 30% of second twin were VLBW in present study and results are comparable with Ara et al, which showed 16% of first twin and 14.5% of second twin were VLBW. 4 There was no discordant twin in our study.…”

Section: On Analysing Neonatal Morbiditiessupporting

confidence: 91%

A prospective observational study of foetal outcome in twin pregnancy delivering at a tertiary health care center of South Gujarat

Jariwala

Patel

Chaudhari

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: Worldwide increased incidence of twin gestation. The rates of twin gestation have a direct effect on the rates of preterm birth and its co-morbidities. Importantly, this increased risk applies to each fetus and is not simply the result of more foetuses.Methods: This prospective study was carried out in department of obstetrics and gynaecology. 100 consecutive subjects fulfilling inclusion criteria admitted to labour room and obstetrics intensive care enrolled over a period of around 1 year.Results: In this study twin delivery accounted for 1.3% of all delivery at our institute. On analysing neonatal morbidities Prematurity was commonest 65%, VLBW (23% first twin, 30% second twin), RDS (9% first twin, 13% second twin), birth asphyxia (7% first twin, 12% second twin), neonatal hyperbilirubinemia (7% first twin, 8% second twin). 34% of first twin and 40% of second twin required NICU admission. Early neonatal death observed in 6% of first twin and 8% of second twin. It was observed that proportion of neonatal complications was more in MCDA as compared to DCDA and in un-booked subjects as compared to booked subjects. This difference is statistically significant among both twin (p value<0.05).Conclusions: Twin pregnancy is associated with high perinatal morbidity. Specialized obstetrics and Intensive Neonatal care can decrease neonatal morbidity and mortality in twin gestation. We need to be extra vigilant in monochorionic twins and twin pregnancy with inadequate antenatal care.

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Feto-maternal outcome in twin pregnancy

Cited by 9 publications

References 3 publications

Outcome in multifetal pregnancy - A cohort study

Outcome in multifetal pregnancy - A cohort study

Twin pregnancies: a retrospective analysis

A prospective observational study of foetal outcome in twin pregnancy delivering at a tertiary health care center of South Gujarat

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