DOI: 10.36347/sjams.2021.v09i06.014

Pages: 846-850

Background: Multiple pregnancies constitute an important portion of high-risk pregnancies and are a matter of grave concern to obstetricians and pediatricians owing to maternal and perinatal morbidity and mortality associated with it. We have very little research-based information regarding the maternal and perinatal outcomes of twin pregnancy. Aim of the study: The aim of this present study was to evaluate the maternal and perinatal outcomes of twin pregnancy. Methods: This cross-sectional observational study was conducted under the Department of Obstetrics & Gynaecology at The Center for Woman and Child Health (CWCH), Dhaka, Bangladesh during the period from January 2018 to December 2020. Fifty-two (52) women of twin pregnancy were selected as study participants purposively. Independent variables of interest were gestational age, preterm delivery, and mode of delivery. Dependent variables of interest were preeclampsia, premature rupture of membranes, postpartum hemorrhage, birth weight, perinatal morbidity, and mortality. Statistical analysis of the results was obtained by using window-based computer Statistical Packages for Social Sciences (SPSS-22). Results: In this study, the total number of vaginal delivery was 50 (1st Twin-26 & 2nd Twin- 24: 48%) and the total number of LSCS was 54 (1st Twin-26 & 2nd Twin 28: 52%). Among total participants, antepartum complication anemia, H gravidarum, HTN (PIH/PE/Eclampsia), polyhydramnios, PROM, gestational DM and APH were found in 48.07%, 7.69%, 28.84%, 5.76%, 9.62%, 3.84%, and 1.92% patients respectively. Among 52 twin pregnancies, the most common intrapartum complication was preterm delivery 59.61% (n=31). Preterm LSCS was 46.15% and preterm vaginal delivery was 13.46%. We found term and preterm deliveries were 40.39% and 59.61% respectively. The most common neonatal complication was the low birth weight which was found in 84.6%. No maternal mortality in the study. Some patients had more than one complication. ..........