Publication:

A retrospective study: twin gestation at tertiary care, maternal and fetal outcome

Background The objective of our study was to study the maternal and neonatal outcome in twin gestation in a tertiary care center.

Methods A retrospective analysis of 197 twin pregnancies admitted and managed at M S Ramaiah medical college. Parameters in the mother and fetus were studied for any adverse antenatal complications, mode of delivery.

Results Prim gravid patients with twin pregnancy constituted (45.6%). 4.5% of patients had an IVF conception. 45.1% patients were unbooked to our institute, 82% of the unbooked patients presented with preterm labour and preterm premature rupture of membrane. PIH was noted in 32.9% of the patients, premature rupture of membranes (32.9%), Intra- Uterine Death of one fetus (6.09%) and intra uterine growth retardation (2.03%) was the antenatal complications observed. Out of the 197 patients 63 (31.97%) delivered by vaginal route whereas 134 (68.02%) had to undergo cesarean section. Section for the second twin was done in 4(2.03%). The 197 women of twin pregnancy gave birth to 378 live-born babies, 16(9.5%) stillborn and 32 (16.2%) died by the end of seven days due to complications related to prematurity: hyaline membrane disease, hyperbilirubinemia.

Conclusions Early active intervention in twin gestation can reduce the maternal and fetal mortality and morbidity.