a study on fetomaternal outcome in twin gestation in a tertiary rural health centre
Bhavana.S,Shilpa Shivanna,Gopal.N
Published in International Journal of Advanced Research in Medical Science
ISSN: xxxx-xxx Impact Factor:xx Volume:1 Issue:1 Year: 25 November,2014 Pages:15-21
Abstract
Introduction : Twin pregnancy is considered as a high risk pregnancy ,accounting for approximately 1% of all pregnancies. They are associated with a variety of maternal and fetal complications and has been reported to be responsible for 10% of perinatal mortality . Aims and Objectives :To study the maternal risk factors, its effects,complications and perinatal outcome in twin gestation in rural health setup. Materials and methods: Included retrospective analysis of 30 twin pregnancies admitted in AIMS ,B.G.Nagara, during 24 months study. Here the maternal factors like parity, age, antepartum risk factors, mode of delivery and the neonatal characteristics like birth weight and discordance, need of NICU admission, perinatal mortality and its causes were studied . Results :In our study ,60% were multigravida.76.6% had spontaneous conception , 23.3% had ovulation induction. About 73.3% were in age group of 20-25 years.60% had dichorionic diamniotic twins. 50% of them were complicated with anaemia,30% with hypertension. 76.6% had preterm deliveries and 23% term deliveries.47% had spontaneous vaginal delivery versus 53% LSCS. Mean gestational age at delivery was 35.4 weeks.Of the 60 babies ,57 % weighed between 1.5-2.5 kg.50% needed NICU admission, perinatal mortality being 13 ( 21%),2 were still births,7 due to prematurity and LBW. No maternal mortality noted. Conclusion: Multiple pregnancy is a significant risk factor for maternal and perinatal morbidity and mortality. The knowledge of maternal and fetal complications helps in better surveillance and in prevention of the morbidity and adverse outcome. And hence the need for better obstetric care, neonatal care, health services, there by to get a better fruitful outcome.
Kewords
twin gestation, anaemia, prematurity, Respiratory Distress Syndrome
Reference
[1] Chittacharoen. A pregnancy outcome of twin pregnancy in Ramathibodi hospital. Journal of Med assoc Thai 2006;89:576-80. [2] American society of reproductive medicine. Multiple pregnancy and birth, considering infertility treatment: twin, triplets and higher order multiples; 2004. [3] 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). [4] Qazi G., Obstetric and perinatal outcome of multiple pregnancy. J Coll Physicians and surgeons Pakistan, 2011 March; 21(3):142-5 [5] Bortolus R, Parazzini F, Chatenoud L, Benzi G, Bianchi MM, Marini A. The epidemiology of multiple births. Hum Reprod Update 1999; 5:179-87. [6] Hoekstra C, Zhao ZZ, Lambalk CB, Willemsen G, Martin NG, Boomsma DI et al. Dizygotic twinning. Hum Reprod Update 2008; 14:37-47. [7] Naqvi MM. Outcome of Twin Pregnancy in booked versus unbooked cases. J Coll Physicians Surg Pak 2003;13:498–500 [8] Chowdhury S, Hussain MA.Maternal complications in twin pregnancies. Mymensingh Med J. 2011 ;20(1):83-7 [9] Yuel Veronica Irene et al. An analytical study of pregnancy outcome in multifetal gestation. J. Obstet Gynecol India; Vol.57.No.6; 2007 [10] Naushaba Rizwan, Razia Mustafa Abbasi, Razia Mughal., Maternal morbidity and perinatal outcome with twin pregnancy. J Ayub Med Coll Abbottabad 2010; 22 (2). Pg:105-107 [11] Isiaka-Lawal S,Adesina K T, Saidu R,Ijaiya M A, Jimoh A A G, aderibigbe S A; A Review of Twin Gestation in a Tertiary Health Institution in North Central Nigeria. Research Journal of Medical Sciences, 2009, 3 (6) : 198-201. [12] Sultana Masuda,Khatun Sabera, Saha Asim Kumar, Akthar Parul, ShahAbu Bakkar Siddique,Maternal and Perinatal Outcome of Twin Pregnancy in a Tertiary Hospital.Ibrahim Card Med J,2011;1(2) :35-39. (13) Olusanya, Bolajoko O, perinatal outcomes of multiple births in Southwest Nigeria. Journal of Health, Population and Nutrition, 2011;1:23
