Maternal and perinatal outcome of twin pregnancy: A prospective study in tertiary hospital in Kashmir

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Author: 
Dr. Shayesta Rahi, Dr. Neha Mahajan and Dr. Asif Iqbal
Subject Area: 
Health Sciences
Abstract: 

Background: Multiple pregnancy is associated with increased maternal and fetal risk, therefore, warrants special attention. This study was conducted to evaluate the pregnancy complications and perinatal outcome in twin pregnancy. Methods: This observational study included 670 women with twin pregnancy achieving a gestational age of 28 weeks and above. Main outcome measures were maternal complications (i.e., anemia, PIH, preterm labour, PPH etc.), perinatal morbidity and mortality. Data was analyzed using SPSS-16. Results: The incidence of twin gestation observed was17.99 per 1000 births with maximum incidence of twining in the age group 26-35 years and in multigravida. Maternal and neonatal complications were remarkably higher with twin gestation. Maternal complications included anemia (41.94%), preterm labour (35.97%), hypertension (30%), PROM (23.88%), hyperemisis gravidarum (6.26%), gestational diabetes (10%), APH (6.26%) and PPH (11.94%). LSCS was done for both twins in 201 (30%) cases and for 2nd twins in 28 cases in view of placental prolapse and fetal distress. Most of the twins (75%) were delivered before 37 weeks and majority of newborn (>90%) had low birth weight. 362 (27.01%) babies required admission to NICU and major reasons for NICU admissions were prematurity, birth asphyxia, and septicemia. There were 84 still births and 43 early neonatal deaths. Conclusion: Twin pregnancy is associated with increasing risk to mother and foetus, therefore, all twin pregnancies should have a mandatory hospital delivery. Early diagnosis, adequate antenatal, intra-natal and postnatal cares are necessary to improve outcome.

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Dr.Geetanjali Joshi Mishra
Lucknow, UP, INDIA
Dr. Sankalp Verma
India
Tannu Arora
India
Prof Dr. Lee Mun Seng
Malaysia
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
Dr. Lim Gee Nee
Malaysia
DANA MOHAMMED
UK
Ali Majnoony Tootakhaneh
Iran
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Thailand
Omenna Emmanuel Chukwuma
Nigeria
Nurhodja Akbulaev
Turkey
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Pakistan
MOHAMMAD GHOLAMI
Iran
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Uzbekistan
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Jordan
Faraz Ahmed Farooqi
Saudi Arabia
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Philippines
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USA
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India
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UK
DR. MAHESH SHIVAJI CHAVAN
India
Dr. Lokesh Gambhir
India
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Pakistan
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Indonesia
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Algeria
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