A STUDY ON MATERNAL AND FETAL OUTCOME IN CASE OF TWIN PREGNANCIES IN A TERTIARY CARE HOSPITAL
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Abstract
ABSTRACT
Introduction: Twin and triplet births in India have increased significantly over the past three decades, contributing to public health issues like preterm delivery and lifelong disability. These pregnancies are influenced by genetic and environmental factors, and are prone to obstetric complications like spontaneous abortion and hypertension.
Aims: The study evaluates at prenatal outcomes including HDP, anemia, preterm labor, PPH, blood transfusions, and difficulties, as well as fetal outcomes like antenatal development and congenital abnormalities, to identify risk factors for twin pregnancies.
Materials and methods: The present study was conducted in the department of Obstetrics and Gynaecology BURDWAN MEDICAL COLLEGE AND HOSPITAL, after receiving clearance from the hospital's ethics committee. The study was place over a one-year period, from January 2021 to June 2022. The research included 32 patients.
Results: In the cohort of 12wks to 18wks, the mean Birth Weight of 2nd baby (mean± s.d.) of mothers was 1.9750±.1282.In 18wks to 24wks, the mean Birth Weight of 2nd baby (mean± s.d.) of mothers was 1.6750±.2315. In 24wks to 30wks, the mean Birth Weight of 2nd baby (mean± s.d.) of mothers was 1.6500±.2268. In Beyond 30wks, the mean Birth Weight of 2nd baby (mean± s.d.) of mothers was 1.4875±.1885.Distribution of mean Birth Weight of 2nd baby with Group was statistically significant (p=0.0004).
Conclusion: Twin pregnancies are linked to increased preterm delivery, low birth weights, congenital anomalies, and SNCU admission. Complications include IUGR, HDP, anemia, PPH, and blood transfusions. In developing countries with poor maternal nutrition, twin pregnancy increases the mother's health and fetal health. Proper antenatal care is essential to improve outcomes. However, initiating care earlier in gestation has some, but not statistically significant, effect on improving maternal and fetal outcomes associated with twin pregnancy.