Abstract
Objectives: Our study was to evaluate the different clinical aspects and early detection of multiple pregnancy and problems of multiple pregnancies in relation to maternal age, parity, gestational age, foetal presentation and position, birth weight, method of delivery, interval of births between first and second baby in twin pregnancy.
Methodology: All Mothers were interrogated and detailed history taken regarding last menstrual period, period of amenorrhoea, history of hypertension anaemia, APH, twin pregnancy, mode of previous delivery and other factors. All primigravida were enquired about the duration of their marriage and whether she had taken any medicine for infertility. And all relevant examination was performed like recording of blood pressure, haemoglobin percentage, blood sugar, urine examination, X-ray of lower abdomen and pelvis and ultrasonography of lower half of abdomen and examination of placenta were done. Postnatal examination of the baby was done with special reference to APGAR scores weight of the baby, maturity, soft tissue wasting, measurement of head circumference, chest circumference, crown rump length, femur length and any congenital abnormalities. Gestational age of the baby was assessed by clinical examination with the help of Dubowitz’s Chart. Any complication during neonatal period was noted.
Results: Data was analyzed by using simple statistical methods with the help of MS-Office software.
Conclusions: Multiple pregnancies bear additional hazards both for the mother and the baby. Once diagnosed proper antenatal care with increased rest and nutritional supplement together with through intranatal and postnatal vigilance has much to its credit in lowering both maternal and foetal dangers.
Preterm labour and intra uterine growth retardation were the two single most important factors responsible for the neonatal deaths. The perinatal mortality could be reduced considerably if we can achieve birth weight of more than 1.5 kilograms in twins. Thus proper antenatal care, planned delivery with shorter interval between deliveries of two babies and better facilities for care of premature babies can bring about a reduction in perinatal mortality of twin pregnancies.
Key words: Maternal outcome, foetal outcome, mode of delivery, twin pregnancy.
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Corresponding Author
Dr Farhat Perween
Post Graduate Trainee, Department of Obstetrics and Gynaecology,
Katihar Medical College, Katihar, Bihar, India
Ph: +91 9470746823, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.15
