Publication:

Incidence and maternal outcome of twin pregnancy

Background Twin pregnancy is a high-risk pregnancy with different prevalences in different regions of world which is on the rise due to growing use of assisted reproductive technology. The objective of this study is to determine the incidence and maternal complication and outcome of twin pregnancies.

Methods This is a prospective observational study conducted in 2016-2017 in NSCB medical college and hospital, Jabalpur on 67 twin deliveries. Final outcome was given in terms of percentage and ratio.

Results After assessment of 5995 deliveries during the period 2016-2017 the incidence of twin pregnancy was 1.12 percent. In present study 83.6% of patients were in the age group of 21-30 years. Majority 56.7% were unbooked. 50.7% were primipara. Family history of twin pregnancy was found in 31.3% cases and 17.9% cases have history of ovulation inducing agent. Maximum 65.7% delivered between the gestational age 29-37weeks. Mostly 59.7% were dichorionic-diamniotic twins. Preterm delivery occurred 72.5% in Diamniotic Dichorionic and 85.7% in Monoamniotic Monochorionic. 49.3% cases were having both babies with cephalic presentation. 29.9% twins delivered by cesarean section. most common indication for LSCS in twin pregnancy was malpresentation. Most common complication was preterm labour (52.2%) followed by anaemia and preeclampsia.

Conclusions Twin pregnancy had higher likelihood of maternal adverse effect. The higher morbidity and mortality is due to high percentage of patient being unbooked and majority receive no therapeutic intervention until admission. So all efforts should directed towards better quality antenatal care of twin carrying mother.