A clinical study on maternal and fetal outcome in twin pregnancy at KIMS hospital, Hubli, Karnataka, India
Keywords:Maternal and neonatal outcome, Preterm labour, Twin gestation, Anemia
Background: Development of two fetus inside the uterus is called twin gestation. Twin gestation is considered as high-risk pregnancy due to associated high maternal morbidity and perinatal mortality in comparison with singleton pregnancies. The past two decades have witnessed a sharp rise in the incidence of twin and higher order gestations.
Methods: Prospective analytical study of all women admitted in Obstetrics and Gynaecology department with twin pregnancy at KIMS Hubli, over a period of one year between November 2016 and October 2017.
Results: There were 11,127 deliveries occurred in study period of one year, out of which there were 174 twin deliveries accounting for 1.56% of prevalence rate. Anemia was the commonest complication occurring in 160 cases contributing around 90%. Preterm delivery was the second complication occurring in 124 cases accounting for 71%. Among 348 babies, there were 40 perinatal death accounting 11%. There was no maternal death.
Conclusions: Twin pregnancy is a high-risk condition, should have mandatory hospital delivery. Early detection, proper treatment improves both maternal and neonatal outcome.
Arias F, Bhide AG, Arulkumaran S, Damania K, Daftary SN, editors. Practical Guide to High Risk Pregnancy and Delivery-E-Book. Elsevier health sciences; 2012 May 14.
Bangal VB, Patel SM, Khairnar DN. Study of maternal and fetal outcome in twin gestation at tertiary care teaching hospital. Inte J Biomed Advance Res. 2012 Nov 1;3(10):758-62.
Nwankwo TO, Aniebue UU, Ezenkwele E, Nwafor MI. Pregnancy outcome and factors affecting vaginal delivery of twins at University of Nigeria Teaching Hospital, Enugu. Nigerian J Clinical Practice. 2013;16(4).
Sultana M, Khatun S, Saha AK, Akhter P, Shah AB. Maternal and perinatal outcome of twin pregnancy in a tertiary hospital. Ibrahim Cardiac Med J. 2013;1(2):35-9.
Arora GG, Bagga GR, Arora GC. Study of maternal outcome in multiple gestation. Int J Reprod Contracept Obstet Gynecol. 2016;5(11):3931-4.
Sharma P. Studying pregnancy outcome in twin gestation in developing world. IOSR-JDMS. 2014;1(13):62-5.
Wanjari SA. Twin births: an overview. Int J Reprod Contracept Obstet Gynecol. 2014;3:995-7.
Nandmer GK, Kanhere AV. Study of obstetric and fetal outcome of twin pregnancy in a tertiary care centre. Int J Reprod Contracept Obstet Gynecol. 2015;4(6):1789-92.
Choudhary VV, Sudhir S, Kaul R, Rathi S. Twin Gestation: A Challenging Task. J Evolution Med and Dent Sci. 2015;4(22):3897-902
Milliez J, Dickens B. Ethical aspects of multiple pregnancy. Int J Fertil Steril. 2009 Mar;3(1).