STUDY OF MATERNAL AND FOETAL OUTCOME IN TWIN PREGNANCY

BACKGROUND In comparison to singleton pregnancies, twin pregnancies are considered a high risk pregnancies associated with perinatal mortalities and maternal morbidities due to unnecessary use of ovulation induced drugs. The aim of the study is to evaluate the maternal and foetal outcomes in twin gestations and to find the various factors that contribute to adverse perinatal outcome. MATERIALS AND METHODS This study was carried out in Laxmi Narasimha Hospital, Warangal, Hanamkonda, Telangana, an over a period of May 2015 to August 2016. RESULTS Most of the women were in their fertile age i.e. in between 20-30 years of age (86.6%). In both primigravida and multigravidas, the twins were equal. Preterm labour complications were seen in 88.8% of the patients and PIH was seen in 11.2% of the patients. Anaemia was the most common mal-presentation seen in the patients which constituted to 33.3%. Number of patients who underwent mode of delivery through spontaneous vaginal section were 60 which constituted 66.7%, caesarean section were 25 which constituted 27.7%, instrumental vaginal section were 5 which constituted 5.6%. The number of patients who had the foetal birth weight <1500 grams were 59 which constituted 32.8%, between 1500 grams to 2000 grams were 66 which constituted 36.6%, >2000 grams were 55 which constituted 30.6%. The number of male babies were 110 (61.1%) and female babies were 70 (38.9%). Number of live births were 170 (94.4%), still births were 10 (5.6%). Number of patients admitted in ICU were 100 (55.6%), Neonatal morbidity was seen in 38 patients (21.1%), neonatal mortality was seen in 10 patients (5.6%). The most common cause of neonatal death was septicaemia followed by respiratory distress, pulmonary distress and DIC. CONCLUSION This study concluded that deaths were majorly due to extremely premature and very low birth weight babies. These babies had septicaemia or respiratory distress. By averting pre-term births, by taking good rest, cervical encerclage, when incompetence is suspected, short term tocolysis, prevention of anaemia and pre-eclampsia, glucocorticoid administration can prevent these deaths