DOI: 10.36347/sajb.2017.v05i07.004

Pages: 488-492

Twin pregnancies are associated with an increased risk of obstetric complications as well as perinatal morbidity and mortality especially in developing countries. Perinatal outcome depends on gestational age, presentation of the foetuses and mode of delivery. This study is designed to find perinatal outcome in twins with different modes of delivery. This was a prospective observational study done to find perinatal outcome in twin pregnancy with respect to mode of delivery in the Department of Obstetrics and Gynaecology. S.M.S. Medical College, Jaipur from April 2015 to March 2016. It included 150 pregnant women with twin pregnancies at gestational age of 28 weeks and above admitted for delivery and consented for the study. All the necessary information regarding demographic data, clinical findings and outcomes of each participant and their babies were collected by using data collecting form. Majority of the women with cephalic presentation of 1st twin had vaginal delivery (65.7%) as compared to non cephalic presentation where majority of the women had caesarean delivery (73.3%). Mean weight and Apgar at 5 minute of both first twins and second twins were significantly more in caesarean group. Admission to NICU and perinatal mortality were significantly more in vaginal delivery for both first and second twins. Malpresentation was the commonest indication for caesarean section. Elective caesarean section should be considered as safe method of delivery for 1st non cephalic twin and for cephalic-non cephalic twins. Vaginal delivery should be allowed for cephalic-cephalic twins.