Twin pregnancy-maternal and fetal complications its association with mode of delivery: a study in a tertiary center

Jupirika E. Pyrbot; Manika Agarwal

doi:10.18203/2320-1770.ijrcog20175030

Authors

Jupirika E. Pyrbot Department of Obstetrics and Gynaecology, North Eastern Indira Gandhi Regional Institute of Medical and Health Sciences, Shillong, Meghalaya, India
Manika Agarwal Department of Obstetrics and Gynaecology, North Eastern Indira Gandhi Regional Institute of Medical and Health Sciences, Shillong, Meghalaya, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20175030

Keywords:

Foetal outcome, LSCS, Maternal, Twin

Abstract

Background: Twin pregnancies are associated with many complications. Hence the mode of delivery and its effect on the maternal and foetal outcome is important.

Methods: A retrospective study of twin pregnancies carried out from April 2015 to March 2017 in a tertiary hospital in north east, India. The maternal, foetal outcome and the mode of delivery data collected and analysed.

Results: A total of 50 twin pregnancies studied. The prevalence of twin was 20/1000 deliveries. Most common age group was 20-29 years with a mean age of 28±5.7 years. A total of 24 (48%) had vaginal delivery and 26 (52%) had LSCS, 2 (4%) had the first twin as vaginal delivery and second twin LSCS. A statistical significance was seen in the mode of delivery of twin pregnancies conceived after ovulation induction, (p<0.05). The most common indication for LSCS was foetal malpresentation (14.58%) followed by foetal distress (12.5%) and elective LSCS (10.42%) on patient’s request. The most common complication was anaemia (28.08%) and PIH (27.08%). In the neonate prematurity was the most common morbidity. There was no association between the mode of delivery and the foetal outcome in the form of Apgar at 5 minutes, NICU admission and perinatal mortality.

Conclusions: There is a rise of caesarean delivery in twin pregnancies, maternal request becoming one of the causes. Regular antenatal check-ups of pregnant women with counselling regarding the mode of delivery should be carried out.

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