January-March 2018

Singleton versus twin pregnancy: maternal complications and neonatal outcome

S. Gandhi1, J.K.Brahmbhatt2* 

1Postgraduate, 2Assistant Professor, Department of Obstetrics and Gynecology, S. S. G. Hospital & Medical College, Baroda.


BACKGROUND: Twin pregnancies are associated with increased perinatal morbidity and mortality as well as higher rate of cesarean deliveries. The obstetric complications   include preterm labor, anemia, pregnancy induced hypertension, postpartum hemorrhage, prematurity and low birth weight. are more associated with twin pregnancy.   MATERIALS AND METHODS: All patients with twin pregnancy coming to labour room during one year were  included and same no. of controls were  taken to carry out the  prospective observational case control study. RESULTS: In our study, there were 21.1% cases of preeclampsia,3.5% cases of     antepartum eclampsia, 40% cases of preterm labour, 32.9% cases of  cesarean section, 17.6% cases of PROM, 85.8% cases of anemia, 1.1% PPH, 1.1% APH and 1.1% GDM. 47(55.2%) babies in  case group were premature while only 25(29.4%) babies in control group were premature. CONCLUSION: Our study indicates that twin pregnancy is associated with increased risks of preterm delivery, preeclampsia, anemia and cesarean section delivery. Prematurity is the main cause for higher incidence of neonatal morbidity.

Keywords: pregnancy, Singleton pregnancy, Obstetrics complications, Prematurity.

[Full Text Article]  
Twitter Links