Details
Category: Volume 07 Issue 03 March 2019
Hits: 1019

Title: A Cross sectional Study on Maternal and Foetal Outcomes in Multifoetal Pregnancies in a Tertiary Care Centre in Kerala

Authors: Dr Omana .E.K, Dr Nikhil.E, Dr Sumangali.P.K

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.214

Abstract

Multifetal gestations are one among the high risk pregnancies. The twinning rate increased 76% to 33.2 per 1000, in 2009. In 2015 over all multifetal birth rate was 34.5 per 1000 live births. It is important to understand the complications associated with multifetal pregnancies, manage them in an effective manner in order to improve the outcome of multifetal gestations. Study subjects were all women who were admitted at department of Obstetrics and Gynecology. Maternal data was collected from the case sheets of pregnant who were admitted in the labour wards and neonatal data were collected form case sheets of the babies.

Results: In our study total deliveries were 5957 of which the total number of mutifetal pregnancies were 193.There were 180 twins and 13 triplets[6.73%]. Total number of newborns were 399. There was a history of invitro conceptions and ovulation inductions in 18 cases. In our study we found out that preterm delivery is the most common complication accounting for 26.94% of the total cases, followed by PPROM [14.5%], Anaemia [12.4%], Hypertensive disorders [9.8%] and GDM [7.7%]. No maternal mortality was reported during the present study. Major neonatal complications in the multifetal pregnancies is charted in Table 3.Prematurity is the most common complication noted [14.78%] out of the 361 live births. This is followed by neonatal hyper bilirubinemia [11.52%], Respiratory distress syndrome [2.25%], hypoglycemia [1.75%] and 3 cases of sepsis [.075%].

Conclusion: Multifoetal pregnancy is an high risk pregnancy which is associated with adverse effects on maternal   and neonatal outcomes. There is an increased incidence of multifoetal pregnancies in recent times when compared to last century.

Keywords: Multifoetal Pregnancies, Preterm Labour.

References

  1. Williams Obstetrics: Chapter 45 Multifetal Pregnancy. 25th McGraw Hill Education. 2018 Pages 863-897
  2. Fernando Arias, Sirish N Daftary, Amarnath G Bhide : Multifetal Gestation Chapter 12; Practical Guide to High Risk Pregnancy and Delivery A south Asian Perspective ,3rd Edition Elsevier Publications 2008 pages 293 to 322.
  3. Yuel Veronica Irene ,Kaur Vaneet,An Analytical study of pregnancy outcome in multifoetalgestation; Journal of O and GIndiavol 67 No 6 Nov/Dec 2007 Pages 509-512.
  4. Apichart Chitta Chareon, Duangtip Singhakun, Nathpong Israngura Na Ayudhya Pregnancy outcome of twin pregnancy in Ramathibodi Hospital ,J Med Assoc That 2006 89[ suppl 4] pages 76 to 80.
  5. Hung Gi Kweon, Jin Sin Lee,Woun Suk Cho,Geon O Kim, Yong Tak Kim et al .Statistical Analysis of Multifeotal pregnancy for 6 years[1984-1989] Vol 35 No. 5 May 1992 pages 674-681.
  6. Naushaba Rizwan ,Razia Mustafa Abbasi ,Razia Mughal Maternal morbidity and perinatal outcome intwin pregnancy J Ayub Medical college Abbottabad 2010 22[2] 105-107
  7. Kilby MD, Govind A, O’Brien PM Outcome of twin pregnancies complicated by single intrauterine death : a comparison with viable twin pregnancies Obstet Gynaecol 1994 84 107-9
  8. Armson BA .O’Connell C ,Persad V .Joseph KS, Yound DC ,Baskett TF : Determinants of perinatal mortality and serious neonatal mortality in second twin .OBstetGynecolsep 2006 108 : 556-64
  9. L Kouam, J Kandom- mayo Fast risk factors in twin pregnancies .Critical analysis of 265 cases . Journal of Obstetrics and gynaecology 04/1664 90[3] : 155-62.
  10. Gyamfi C Stone J Eddleman KA Maternal complications of multifetal pregnancy Clin Perinatol
  11. Walker MC., Murphy KE., Pan S Yang Q.,Wen SW Adverse maternal outcomes in muktifetal preganancies BJOG 2004:111 : 1294-1296.
  12. Goldenberg RL., Culhane JF.,Iams JD .,Romero R. Epidemiology and causes of preterm birth. Lancet 2008:371 : 75-84
  13. Safe Prevention of the primary cesarean delivery.Am J Obstet Gynecol 2014:210: 179-193.
  14. Blondel B,. Kaminski M Trends in the occurrence determinants and consequences od multiple births. Semin Perinatol 2002 26 239-249
  15. Refuerzo JS Mominova V., Peaceman AM Neonatal outcomes in twin pregnancies delivered moderately preterm ,late preterm , and term.Am J Perinatol. 2010: 27 538-542
  16. Rao A,. Sairam S.,Shehata H Obstetric complications of twin pregnancies. Bestpract Res Clin Obstet Gynaecol 2004 : 18 557-576
  17. Obiechina Nj, Okolie V.,Eleje G., Okechukwu Z., Anemeje O Twin versus singleton pregnancies: the incidence pregnancy complications and obstetric outcomes in a Nigerian tertiary hospital It J Womens Health 2011:3: 227-230.

Corresponding Author

Dr Omana .E.K

Associate Professor, Department of Obstetrics and Gynaecology, Pariyaram Medical College

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Phone: 9447472602