DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20181337

A clinical study on maternal and fetal outcome in twin pregnancy at KIMS hospital, Hubli, Karnataka, India

Seeta Sunil Garag, Vinay Raju D.

Abstract


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.


Keywords


Maternal and neonatal outcome, Preterm labour, Twin gestation, Anemia

Full Text:

PDF

References


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).