Fetomaternal Outcome in Twin Pregnancies: A Retrospective Analysis from a Tertiary Care Centre
Introduction: Twin pregnancies are among the major challenges faced by obstetricians globally. Increased maternal and foetal morbidity is observed with an increase in the incidence of twin pregnancies. Due to elevated rates of complications, a larger number of caesarean sections are performed in...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2020-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/13850/44917_CE[Ra1]_F(SHU)_PF1(Kri_SL)_PFA(SL)_PN(SL).pdf |
| Summary: | Introduction: Twin pregnancies are among the major challenges
faced by obstetricians globally. Increased maternal and foetal
morbidity is observed with an increase in the incidence of twin
pregnancies. Due to elevated rates of complications, a larger
number of caesarean sections are performed in twin pregnancies
in comparison to singleton gestation.
Aim: The study aimed to find out the incidence of twin pregnancy
with associated maternal risk factors and foetal outcome in the
study population.
Materials and Methods: This retrospective observational study
was carried out at JNU Hospital and Medical College, Jaipur for
a period of 4 years from December 2015 to December 2019. A
total of 70 mothers, who presented with twin pregnancy, were
included in this study. Data were collected from hospital records
regarding maternal age, parity, whether spontaneous or assisted
conception, gestational age, pregestational Body Mass Index (BMI)
and family history. Details of maternal and foetal complications
that occurred during the antenatal period and labour as well as
the mode of delivery were collected and analysed. Statistical
significance was considered if the p-value was ≤0.05. Qualitative
data were represented as rate and proportions, while quantitative
data were represented as mean and standard deviation.
Results: A total of 70 mothers with twin births, resulting in 140
babies during the 4 years study period were included. A total
of 4240 deliveries overall during the study period, gave a twin
pregnancy incidence rate of 16.5 in 1000 deliveries. Preterm
labour (25.4%), anaemia (26.8%) and hypertension (22.5%)
were common problems. The most common indication for
caesarean delivery was foetal malpresentation (37.8%) The
mean weight of the first twin was 2.12±0.35 kg while the
mean weight of the second twin was 1.97±0.30 kg. Among
foetal complications, Intrauterine Growth Restriction (IUGR)
was seen in 11.4% and birth weight discordance in 21.4%
of children. A low Appearance, Pulse, Grimace, Activity, and
Respiration (APGAR) score was noted in 21.4% of babies,
while 12.9% of babies died in the early neonatal period.
Conclusion: Maternal complications during twin pregnancy
were mainly preterm labour, diabetes, hypertension and
anaemia. Caesarean section was the main mode of delivery
in this study with significant association with hypertension
and preterm labour. Foetal complications were in the majority
related to IUGR. More vigilance during the antenatal period
and labour is needed for proper selection of mode of delivery.
Active foetal surveillance and intervention with appropriate
neonatal care can improve fetomaternal outcome. |
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| ISSN: | 2249-782X 0973-709X |