Maternal and Perinatal Outcome of Twin Pregnancy in a Tertiary Hospital

Sultana, Mehar; Khatun, Sabera; Saha, Asim; Akhter, Parul; Shah, Abu Bakkar Siddique

doi:10.3329/icmj.v1i2.13550

Cited by 18 publications

(30 citation statements)

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“…12 Garg P and Shebl ET O, Mazhar SB also reported similar risk of preterm. [13][14][15] Preterm rate in present study was 62.7% which was higher than that reported by Muthihir JT et al, Qazi G, Sultana M et al, and Akaba GO et al 11,[16][17][18] However, Rizwan N et al and in Hanumaiah et al showed higher rates of preterm delivery on their study (84% and 74% respectively). 7,19 Authors observed a 2.28-fold increased risk of hypertensive disorder in women with twin pregnancy.…”

Section: Discussioncontrasting

confidence: 56%

“…Olusanya reported 1.2-fold increased risk in twin which was slightly lower than risk observed in present pregnancy and reported by Abasiattai AM and Sultana M et al 8,17,22 The difference in the risk of antepartum haemorrhage between studies could be explained by the difference in risk factors for antepartum haemorrhage between the studies populations.…”

Section: Discussioncontrasting

confidence: 53%

“…4 The rate of PPH in present study (8.7%) was lower than reported by Rizwan N et al and M Sultana et al 16% and 12.5% respectively. 7,17 The risk of PROM in present study was 2.74 (24.7%) times higher as compare to singleton pregnancy. Present result was consistent with Qazi who reported that 26% of women with twin pregnancy had PROM.…”

Section: Discussionmentioning

confidence: 68%

“…Current results were consistent with Akinboro A et al, Abasiattai AM, Olusanya Bo, Akaba GO et al, Chiwanga ES et al 6,8,12,18,20 Authors found that 15.3% women had hypertensive disorder which was lower than that reported by M Sultana et al, JY Foo et al, who found preeclampsia rate of 31% and 28% respectively. 17,21 In current study mother with twin gestation had a 1.36-fold increased risk of anaemia compared with singleton gestation. Findings of present study were in line with previous reports by Rizwan N et al, Qazi G, Sultan M et al 7,16,17 The rate of anaemia in present study was 8% which was lower as compare to previous studies.…”

Section: Discussionmentioning

confidence: 92%

“…17,21 In current study mother with twin gestation had a 1.36-fold increased risk of anaemia compared with singleton gestation. Findings of present study were in line with previous reports by Rizwan N et al, Qazi G, Sultan M et al 7,16,17 The rate of anaemia in present study was 8% which was lower as compare to previous studies. The reason for the lower rate of anaemia in the present study could be attributed to increased uptake of iron and folic acid supplements during antenatal care services.…”

Section: Discussionmentioning

confidence: 92%

See 4 more Smart Citations

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

Gupta

Mital

Meena

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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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.

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