Obstetric and neonatal outcome in multiple pregnancy in rural India: a prospective study

Lakshmikantha G., Sangeetha C.


Background: The objective is to study the obstetric and perinatal outcome in multiple pregnancy.

Methods: A prospective study of 100 cases of multiple pregnancy was conducted between October 2013 to July 2016. Incidence of relevant factors, complications, characteristic of multiple pregnancy and sequelae of these complications on obstetric and perinatal outcome were analyzed.

Results: Incidence of multiple pregnancy was 2%, anaemia was 22%, preterm labour in 62%, severe preeclampsia in 34%, postpartum haemorrhage in 16%’ PPROM in 14%, abortion in 8%, eclampsia in 2%. Incidence of perinatal mortality rate was 240 per 1000 live births and maternal mortality rates was 2000/ 1 lakh live births which was 10 times more compared to singleton pregnancy.

Conclusions: Regular antenatal care, prolonging period of gestation near to term, early admission and care will go a long way in reducing maternal and perinatal mortality.


Maternal mortality, Multiple pregnancy, Perinatal mortality, Preterm

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Walker MC, Murphy KE, Pan S, Yang Q, Wen SW. Adverse maternal outcomes in multifetal pregnancies. BJOG: Int J Obstet Gynaecol. 2004;111(11):1294-6.

Gyamfi C, Stone J, Eddleman KA. Maternal complications of multifetal pregnancy. Clin Perinatol. 2005;32(2):431-42.

Day MC, Barton JR, O’brien JM, Istwan NB, Sibai BM. The effect of fetal number on the development of hypertensive conditions of pregnancy. Obstet Gynecol. 2005;106(5):927-31.

Gardner MO, Goldenberg RL, Cliver SP, Tucker JM, Nelson KG, Copper RL. The origin and outcome of preterm twin pregnancies. Obstetr Gynecol. 1995;85(4):553-7.

Hamilton EF, Platt RW, Morin L, Usher R, Kramer M. How small is too small in a twin pregnancy?. Am J Obstet Gynecol. 1998;179(3):682-5.

Holcberg G, Biale Y, Lewenthal H, Insler V. Outcome of pregnancy in 31 triplet gestations. Obstet Gynecol. 1982;59(4):472-6.

Luke B. The changing pattern of multiple births in the United States: maternal and infant characteristics, 1973 and 1990. Obstet Gynecol. 1994;84(1):101-6.

Kushla Pathania AS, Gupta K, Premi HK, Sood R. Outcome of triplet gestations in an apex institution. J Obstet Gynecol Ind. 2001;51:108-10.

Itzkowic D. A survey of 59 triplet pregnancies. BJOG: Int J Obstet Gynaecol. 1979;86(1):23-8.

Visintin C, Mugglestone MA, James D, Kilby MD. Antenatal care for twin and triplet pregnancies: summary of NICE guidance. BMJ. 2011;343:d5714.

Whitworth NS, Magann EF, Morrison JC. Evaluation of fetal lung maturity in diamniotic twins. Am J Obstet Gynecol. 1999;180(6Pt 1):1438-41.