Maternal and neonatal outcome of twin pregnancies with single fetal demise

Authors

  • Gunjan Rai Department of Obstetrics and Gynecology, Command hospital, Lucknow, Uttar Pradesh, India
  • Sudhir Mansingh Department of Obstetrics and Gynecology, Command hospital, Lucknow, Uttar Pradesh, India
  • Bikram Bhardwaj Department of Obstetrics and Gynecology, Armed Forces Medical College, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20212961

Keywords:

Monochorionic, dichorionic, TTTS, Rh isoimmunization

Abstract

 

Background: In current study we managed twin pregnancies having single fetal demise with a successful outcome. Generally monochorionic and monoamniotic pregnancies are having high probability of complications, so we have to be more watchful in these pregnancies. Termination of pregnancy is not the only option as we can manage and prolong pregnancies with a good outcome by strict monitoring of patients. Aim of our study was to look for fetomaternal outcome in twin pregnancies with single fetal demise.

Methods: This is a retrospective study done between July 2017 to June 2020 at Command hospital, Panchkula, Haryana. Total 3249 deliveries have been conducted during above said period. Out of which 47 deliveries were having twin pregnancy. We had six twin pregnancies who reported with one fetal demise. These cases were managed with regular monitoring of coagulation profile and strict fetal surveillance for surviving twin. The cases were studied for antenatal, postnatal and any neonatal complication.

Results: No antenatal, postnatal maternal or any neonatal complication observed in this study. During study period we delivered total 3249 patients, out of which 47 were twin pregnancy. Out of these 47 (1.44%) twins’ pregnancies 33 (70.31%) were DADC and 14 (29.69%) DAMC. We studied six twin pregnancies who had single fetal demise.

Conclusions: Even with single fetal demise pregnancies can be continued till term with strict monitoring for maternal and fetal complications. Termination is not the only answer in twin pregnancies with single fetal demise. Although our study was small, it indicates that in case of twin pregnancy with single fetal death and under good surveillance, the live fetus can be salvaged.

 

Author Biographies

Gunjan Rai, Department of Obstetrics and Gynecology, Command hospital, Lucknow, Uttar Pradesh, India

command Hospital Lucknow

Sudhir Mansingh, Department of Obstetrics and Gynecology, Command hospital, Lucknow, Uttar Pradesh, India

Proff & HOD 

Depttt of Obst & Gynae

Command Hospital ,Lucknow

Bikram Bhardwaj, Department of Obstetrics and Gynecology, Armed Forces Medical College, Pune, Maharashtra, India

Deptt of Obst & Gynae

AFMC

Pune

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Published

2021-07-26

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Original Research Articles