Clinical Profile of Multiple Gestations at a Tertiary Care Hospital
Clinical Profile of Multiple Gestations
Background: Monochorionic twins showed increased incidence of discordant growth as compared to dichorionic twins. Studies have reported fivefold mortality of twins in comparison with singleton pregnancy. In this a prospective study is done to assess the perinatal, neonatal mortality and morbidity in multiple gestations. Zygosity determines the degree of risk of chromosomal abnormalities in each fetus of a multiple gestation. The risk for aneuploidy in each fetus of an MZ pregnancy is the same as a singleton pregnancy, and except for rare cases of genetic discordancy, both fetuses are affected. In a DZ pregnancy, each twin has an independent risk for aneuploidy, and therefore has twice the risk of having a chromosomal abnormality compared with a singleton. Subjects and Methods: All mothers with multiple gestation were recruited to this study. Twins and Triplets in OBG ie. new born brought from other hospitals were excluded. Statistical analysis was done as percentage. Results: 80 twins were studied, out of which preterm deliveries constituted 87.5% of all deliveries. Most of the mothers were between 25-29 year age group and most of them were primi. There was family history of twining in 10% of the study group. Conclusion: Vaginal delivery was done for 68% of twins and LSCS for 23.8%.