DOI: 10.36347/sjams.2021.v09i03.007

Pages: 337-341

Objective: In this study our main goal is to evaluate the maternal and foetal outcome of multiple pregnancy. Method: This cross-sectional study was carried out at the Department of Obstetrics and Gynaecology, Sylhet M.A.G. Osmani Medical College Hospital, Sylhet from November 2019 to June 2020. A total of 50 multiple pregnancies cases where women who admitted in Department of Obstetrics and Gynaecology were included in the study. Results: During the study, family history of multiple pregnancy was present in 11 (22.0%) patients, use of ovulation inducing drugs or assisted reproductive technology (ART) was in 6 (12.0%) patients and no recognized risk factors was in 33 (66.0%) patients. Anaemia was the most frequent maternal complication of multiple pregnancy (64.0%). Other complications were preterm labour (56.0%), pregnancy induced hypertension (30.0%), premature rupture of membrane (14.0%) postpartum haemorrhage (12.0%), polyhydramnios (10.0%), antepartum haemorrhage (8.0%), gestational diabetes mellitus (6.0%). No maternal mortality in multiple pregnancy in this study. Vertex-vertex was the most frequent foetal presentation in multiple pregnancy (42.0%). Other foetal presentations were vertex-breech (26.0%), breech-vertex (14.0%), breech-breech (8.0%), vertex-transverse (6.0%) and breech-transverse (4.0%).0-6 in 14 (28.0%) and was 7-10 in 36 (72.0%) new born babies; it was 17 (34.0%) and 33 (66.0%) new born babies respectively in second twin.vaginal delivery in 24 (48.0%) cases and caesarean section in 26 (52.0%) cases in first twin; while vaginal delivery in 21 (42.0%) cases and caesarean section in 29 (58.0%) cases in second twin. According to foetal outcome, birth asphyxia was in 11 (11.0%) cases, LBW was in 75 (75.0%) cases, admission to neonatal ward was in 43 (43.0%) cases and still born was in 13 (13.0%) cases. Conclusion: Multiple pregnancies are associated with increased maternal and perinatal risks. There is a need for early diagnosis and should .........