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Category: Volume 06 Issue 09 September 2018
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Title: An observational study on maternal and foetal outcome in twin Pregnancy

Authors: Dr Richa Choudhary, Dr Girija Kumari

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i9.88

Abstract

Objectives:  Objectives of our study was to evaluate the maternal and foetal outcome in mothers of twin pregnancy.

Methodology: A detail history, complete assessment such as gestational age, parity, nature of conception, use of ovulation induced drugs, maternal or obstetrics complications, foetal weight, foetal discordancy, foetal viability, malformations, abnormal vascular communications, presentations of foetuses were performed to all cases. Relevant investigations were performed. A continuous follow up of all cases were performed from throughout pregnancy to up to delivery and discharge.

Observations: Data was analyzed by using simple statistical methods with the help of MS-Office software.

Conclusions: Fertility age was commonly seen in mothers with age 20-30 years. Pre term labour was mostly seen in cases of twin pregnancy. Majorities of babies were foetal birth weight 1500-2000 grams. Second babies were more prone to malpresentation than first baby. Anaemia was the most common malpresentation. 20.5% Neonatal morbidity and 5.5% neonatal mortality rate were seen in cases of twin pregnancy.

Keywords: maternal outcome, foetal outcome, twin pregnancy.

References

  1. Chauhan, S. P., Scardo, J. A., Hayes, E., Abuhamad, A. Z., Berghella, V. 2010.Twins: prevalence, problems, and preterm births. Am J Obstet. Gynecol., 203:305-15.
  2. Fisk, N. M. Multiple pregnancy, 2007 In: Edmond D.K, editor. Dewhurst's textbook of Obstetrics & Gynaecology. 7th ed. Massacheusetts: Blackwell Publishing; pp 166-76.
  3. Cruikshank, D. P. 2007. Intrapartum management of twin gestations. Gynecol., 109:1167-76.
  4. Abdelmoneim, E. M. Kheir, Reem, B.A. Ali and Samah, M. H. Abdelmonim, 2016. “Maternal and foetal outcome of twin pregnancy in a tertiary maternity hospital in sudan. International Journal of Current Research, 8, (04), 30728-307731.
  5. Sumathipala A, Siribaddana S, De Silva N, Fernando D, Abeysingha N, et al. (2002) Sri Lankan twin registry. Twin Res 5: 424–426.
  6. Aisien A, Olarewaju R. Twins in Jos Nigeria: a seven-year retrospective study. Med Sci Monit. 2000; 6: 945–50.
  7. Uthman O, Uthman M. A population-based study of effect of multiple birth on infant mortality in Nigeria. BMC Pregnancy Childbirth. 2008; 8: 41.
  8. Spellacy, W. N., Handler, A., Ferre, C. D. 1990, A case control study of 1253 twin pregnancies from1982-1987, Perinatal data base 1990, Obstet Gynecol.;75(2):168-71.
  9. Yuel, V. I., Kaur, V. 2007. An Analytical study of pregnancy outcome in multifetal gestation. J ObstetGynaecol India, 57(6): 509-512.
  10. Bulmer MG, The Biology of Twinning in Man. Oxford: Oxford University Press 1970.
  11. Nylander PPS The phenomenon of twinning. In: Barron SL, Thompson AM, editors. Obstetrical Epidemiology. London Academic Press 1983. pp. 143–165.
  12. Amiben V. Gajera, Hiremath P. Basavannayya, C. Kavitha, Reshma Hiremath.  Feto-maternal outcome in twin pregnancy. Int J Reprod Contracept Obstet Gynecol. 2015 Dec;4(6):1836-1839.
  13. Hada A, Baghela AS, Sethi D. Study of maternal and foetal outcome in multiple pregnancy. J. Evolution Med. Dent. Sci. 2016;5(59):4069-4073, DOI: 10.14260/jemds/2016/932.
  14. Sheela SR, Patila A. A study of maternal and foetal outcome in multifoetal gestation at a rural based teaching hospital-a retrospective analysis. Int J Biol Med Res 2014;5(2):3994-7.
  15. Bassey EA, Abasiattai AM, Udoma EJ, Asuquo EE. Outcome of twin pregnancies in Calabar, Nigeria. G J Med Sci., 2004; 3(1–2): 13–15.
  16. Nwobodo EI. Bobzon DN, Obe J. Twin births at the University of Teaching Hospital: Incidence, pregnancy complica-tions and outcome. Niger J Med., 2002; 11: 67-9.
  17. Onwuzuruike BK, Onah HE. Caesarean section in twin pregnancies in Enugu, Nigeria. Journal of College of Medicine, 2004; 9(1): 8–11.
  18. Mahita Reddy A., Madhavi KSS., Niharica. A study on risk of twin pregnancy. IAIM, 2016; 3(10): 139-145.
  19. Vidyadhar B. Bangal, Shruti M Patel, Devendra N Khairnar. Study of maternal and fetal outcome in twin gestation at tertiary care teaching hospital. International Journal of Biomedical and Advance Research. 2012; 03 :10.
  20. Deepthi H. R, Dr. Pradeep M. R, Dr. Lalitha shivanna.  Retrospective Study of Maternal and Perinatal Outcome of Twin Pregnancy in a Teaching Hospital. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). Jan 2015 ;14: 1 :29-32.
  21. Chowdhury S. Clinical study on twin pregnancy Feps, Bangladesh college of physician and surgeons , Dhaka 1998.
  22. Papiernik E, Keith L , Oleszczukff , Cervants A, what intervensations are useful in reducing the rate of pre term delivery in twins ?In; clinical obs and gynec 1998; P 13-22.

Corresponding Author

Dr Richa Choudhary

Senior Resident, Department of Obstetrics and Gynaecology, Anugrah Narayan Magadh Medical College, Gaya, Bihar, India

Contact No: +91 7260031252, Email id: This email address is being protected from spambots. You need JavaScript enabled to view it.