MATERNAL MORBIDITY AND PERINATAL OUTCOME WITH TWIN PREGNANCY
Abstract
Background: Multiple pregnancy still warrants special attention as it is associated with increasingrisk for mother and foetus. Preterm delivery increases the risk for baby. This study was conducted toevaluate the risks of pregnancy complications and adverse perinatal outcome in women with twinpregnancy. Methods: It was 2 years observational study from July 2007 to July 2009 at Departmentof Obstetrics and Gynaecology, Liaquat University Hospital, Jamshoro. All women admitted to thelabour ward with multiple pregnancy after 28 weeks gestation were included in the study. Mainoutcome measures were maternal complications (i.e., anaemia, preterm labour, pregnancy inducedhypertension, postpartum haemorrhage etc.), perinatal morbidity and mortality. All data collectedwas analysed using SPSS-16. Results: Incidence of multiple pregnancy in this study was 1.44%.Majority of women 52 (81%) were un-booked and only 12 (18%) were booked; 54 (84%) womenpresented with preterm labour, 10 (15.6%) were at ≥36 weeks of gestation. Fifty-four (84%) patientspresented with preterm labour. Anaemia was found in 42 (65.6%), and hypertension was noted in31.2% cases. Abruptio placentae occurred in 6.2% of cases, prematurity was the major problem (54,84.3%). Majority presented between 28–35 weeks gestation, 10 (15.6%) delivered at 36 weeks orabove. The most common cause of neonatal death was very low birth weight (in 32.8% cases),followed by sepsis and jaundice. Conclusion: Multiple pregnancy is associated with increasing riskfor mother and foetus. Preterm delivery increases the risk for baby.Keywords: Multiple pregnancy, pregnancy complications, preterm birthReferences
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