Obstetric and perinatal outcome of twin pregnancy: a prospective study in a tertiary care hospital in North India

Bhalla, Shivali; Bhatti, Seema Grover; Devgan, Shalini

doi:10.18203/2320-1770.ijrcog20182368

Cited by 5 publications

(15 citation statements)

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“…In other studies of Chowdhury et al and Panwala et al, Bhalla et al, Yeasmin et al, vaginally delivered cephalic presentation at delivery were (47.5%), (51.4%), (52%), (48.21%) respectively. 13,18 In our study, the mean age was 30.14+2. 12,18,13,14 In our study mean intertwine (between first and second twin) delivery interval (mins) was 23.74+4.75.…”

Section: Discussionmentioning

confidence: 61%

“…13,18 In our study, the mean age was 30.14+2. 12,18,13,14 In our study mean intertwine (between first and second twin) delivery interval (mins) was 23.74+4.75. Similarly, in another study mean interval was 10.55+14.01.…”

Section: Discussionmentioning

confidence: 61%

“…11 In a study by Bhalla et al, the most common indication for cesarean section was 48.14% which is comparable with Erdemoglu et al where it was 46.3%. 12,18 Our study focused on delivery-related perinatal outcomes of vaginally delivered second twins excluding the confounding effects of prematurity, congenital malformations, lower segment caesarean section, antepartum fetal death, and Low birth weight. In other studies of Chowdhury et al and Panwala et al, Bhalla et al, Yeasmin et al, vaginally delivered cephalic presentation at delivery were (47.5%), (51.4%), (52%), (48.21%) respectively.…”

Section: Discussionmentioning

confidence: 99%

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Perinatal Outcome of Twins Delivered Vaginally in a Tertiary Care Hospital

Zulfiqar¹,

Sadaf²,

Abbasi³

et al. 2021

JRMC

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Objective: To determine the perinatal outcome of first and second twin delivered vaginally in terms of frequency of poor APGAR score and NICU admission in the patient at term in a tertiary care health facility.Introduction: This study aims to improve the perinatal outcome of twin pregnancies through awareness of the need for antenatal care, the recommendation of regular antenatal visits, early recognition of complications, and the presence of neonatal intensive care facilities to improve neonatal outcome by knowing the burden of adverse outcomes in our population.Materials and Methods: This is a descriptive study, conducted at the Department of Obstetrics and Gynaecology at DHQ Hospital, Rawalpindi from January 2019 to June 2019.A total of 91 individuals (female pregnant ladies) who delivered twins (Dichorionic Diamniotic) babies through normal vaginally were selected for descriptive study in the Department of Obstetrics and Gynaecology, DHQ hospital Rawalpindi. All consecutive patients admitted in the labour ward with twin pregnancies were included. Before delivery, the fetal wellbeing of both the twins was evaluated also by ultrasonography. Data collection was done by interview schedule from the patients. Data were analyzed using descriptive statistics using SPSS version 17. For all the quantitative variables like age, gestational age and intertwine interval in seconds.Results: Out of 6278 deliveries during the study period, 91 twin births gave a frequency of 15.16/1000 births. Patients' mean age was 30.14+2.64 years, and mean gestational age was 37.47+0.72 weeks. The mean inter twin delivery interval (mins) in the study was 23.74+4.75. Perinatal outcome of first and second twin in terms of frequency of poor APGAR score and NICU admission in a patient at term was 09 (9.9%) and 27 (29.7%), (p<0.001) respectively.Conclusion: The study concludes that there was a high risk of perinatal outcomes in the second twin as compared to the first twin delivered vaginally. Poor Apgar score and neonatal intensive care admission were more so for the second twin.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

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Perinatal Outcome of Twins Delivered Vaginally in a Tertiary Care Hospital

Zulfiqar¹,

Sadaf²,

Abbasi³

et al. 2021

JRMC

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“…17 However as per Bhalla S et al, incidence of anemia in twin pregnancy was 62%. 18 The difference in incidence of anemia could be due to variation of prevalence of anemia in different regions. Twin pregnancy is more prone to develop anemia as there is increased fetal demand.…”

Section: Discussionmentioning

confidence: 99%

“…12 Furthermore, in the present study there were 34 neonatal deaths (13%) which correlates with the study done by Bhalla S et al, in which neonatal deaths at 1 week was 12%. 18…”

Section: Discussionmentioning

confidence: 99%

Study of fetomaternal outcome in twin pregnancy

Rami¹,

Kaul²

2019

Int J Reprod Contracept Obstet Gynecol

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Background: Twin pregnancy being one of the causes of high-risk pregnancy is associated with both maternal and fetal complications. This study aims at analysing the fetal and maternal outcome in such cases. All cases were studied according to their parity, maternal age, fetal presentation, mode of delivery and gestational age.Methods: This prospective study was conducted at one of the tertiary care teaching institutes over a period of one year from January 2018 to December 2018. Out of a total number of 7295 deliveries, 130 were twin pregnancy. It included all women admitted in labour room with clinical or ultrasound diagnosis of twin pregnancy after 20 weeks of gestation.Results: In the present study incidence of twin pregnancy was 1.78%. We observed the highest incidence of twins in the age group of 20-29 years. The least incidence was below the age of 20 years. Incidence of twin pregnancy in our study in primipara was 47.7% and in multipara was 52.3%. Most of the patients (43%) delivered at 32-36 weeks of gestation. Maternal complications were noticed as anemia in 29.2% patients, pregnancy induced hypertension in 55.4% patients, post-partum hemorrhage in 4.6% patients, polyhydramnios in 3.1% patients, premature rupture of membranes in 8.5% patients, gestational diabetes in 0.8% patients and urinary tract infection in 2.3% patients. Majority of the patients delivered vaginally (60.8%), others by lower segment cesarean section (LSCS). In this study 95.8% babies were low birth weight. There were 34 neonatal deaths (13%).Conclusions: Twin pregnancy is a high-risk pregnancy associated with significantly increased maternal morbidity, neonatal morbidity and mortality. Such pregnancies require good antenatal care, early detection of maternal and fetal complications and timely referral to a centre well equipped for management of such cases.

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Twin pregnancies: a retrospective analysis

Zanjade

Bezbaruah

Rai

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: This study aims to analyse the maternal and neonatal complications in twin pregnancy at tertiary institute.Methods: This was a retrospective study of multiple pregnancies after 26 weeks gestation at a tertiary teaching hospital between January 2020 to December 2020. Maternal and neonatal data was collected from the labour room delivery register and NICU records.Results: Out of 1212 births during this period, 66 were twin pregnancies with an incidence of 5.54%. Most of women had twinning after in vitro fertilisation (IVF) treatment (77.27%). Thirty-seven (56.06%) women were in the age group of 21-30 years and primigravida contributed to 63.63% of all twin pregnancies. Maternal complications most frequently noticed was hypertensive disorders of pregnancy in 27 (40.90%) women, Gestational diabetes mellitus (GDM) in 24 (36.36%) women, preterm rupture of membranes (PROM)/ preterm premature rupture of membranes (PPROM) in 21 (31.18%) women, Intrahepatic cholestasis of pregnancy (IHCP) in 4 (6.06%) women, hypothyroidism in 12 (18.8.1%) women and antepartum hemorrhage (APH) in 4 (6.06%). Caesarean section was performed on 49 (74.25%) women with abnormal presentation as indication in 18 (36.73%). 80.30% women had preterm delivery with 86 (65.15 %) neonates having NICU admission. There was no maternal mortality and 1 (1,16 %) perinatal mortality in NICU admitted neonates.Conclusions: This study reveals with increasing ART treatment the incidence of twin pregnancies is increasing along with its maternal complications like hypertensive disorders of pregnancy, GDM and preterm delivery. Frequent antenatal care for early detection of complications, multi-disciplinary approach is key for favourable outcome.

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Obstetric and perinatal outcome of twin pregnancy: a prospective study in a tertiary care hospital in North India

Cited by 5 publications

References 4 publications

Perinatal Outcome of Twins Delivered Vaginally in a Tertiary Care Hospital

Perinatal Outcome of Twins Delivered Vaginally in a Tertiary Care Hospital

Study of fetomaternal outcome in twin pregnancy

Twin pregnancies: a retrospective analysis

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