To Study Epidemiology, Clinical Profile, Role Of Antenatal Care, Influence of Chorionicity, Complications & Management In Cases of Twin Pregnancy In RMC, JLN Medical College, Ajmer (Raj)"
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Objective: To study the epidemiology, role of regular antenatal care influence of chorionicity maternal and perinatal outcome, maternal and fetal complication and plan of management in cases of twin pregnancy in our institute during study period of Jan. 2017 to Sep. 2018 Method: The study was conducted in the Department of Obstetrics and Gynecology of JLN Medical College & Associated group of hospitals, Ajmer (Raj.). 100 cases of twin pregnancy that register in Zanana Hospital during period of Jan 2017 to Sep 2018 were studied and data regarding feto-maternal outcome and the mode of delivery were collected and analyzed. Result: In our study we observed that incidence of twin pregnancy was 1:45.4, with the mean age of the patients ranging between 21-30years. Antenatal diagnosis was made in 92% cases and in 8% of cases diagnosed after delivery of first baby. Out of 100 cases 48% were primigravida and 27% were second gravida, 41% were below the gestation age of 37 weeks while 59% above it. In 51% cases presentation of both twin was vertex-vertex and in remaining 24% vertex-breech being the commonest presentation. The incidence of operative delivery was 46% and vaginal delivery 54%. The incidence of monozygotic twins was 6% and of dizygotic twins 93%.In present study total perinatal mortality morbidity was 26% and higher for second twin (29%) as compared to first twin (23%) and more in monozygotic twin (45%) than in dizygotic twins (24%), more in males (22.12%) than in females (18%). The incidence of anemia was 19%, PIH 15% accidental hemorhage 6% and cord prolapsed 3% respectively, preterm was pain 42% PROM 14%. Post partum hemorrhage occurred in 10% of cases and anemia in post partum stage was 12%. Conclusion: As we know twin pregnancy is associated with a high risk in mother as well as foetus, this warrants need of early antenatal diagnosis and vigilant care during antenatal as well as intrapartum and postpartum period to reduce complications.
Authors and Affiliations
Dr. Vandana, Dr. Deepali Jain, Dr. Chandra kanta
Keywords
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- EP ID EP574529
- DOI 10.9790/0853-1804132125.
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