Foeto-maternal outcome in multiple gestation: a prospective study at tertiary care teaching hospital of Southern Rajasthan

Abstract

Background: Multiple pregnancies are associated with an increased risk of obstetric complications as well as perinatal morbidity and mortality especially in developing countries. The present study aimed to know the maternal and perinatal outcomes of multiple pregnancies.Methods: The present prospective observational study was conducted on 100 patients with multiple pregnancies attending the obstetrics and gynecology department of American International Institute of Medical Sciences, Udaipur from January 2018 to December 2019 only after approval from Institutional Ethical Committee. Antepartum, intrapartum, postpartum complications were noted. Maternal and perinatal morbidity and mortality were also noted.Results: Mean maternal age was 24.94±3.77 years. Multiple pregnancies were seen more in primigravida (45%). Preterm labor (42%), mal presentation (29%) and post partum hemorrhage (7%) were the most common complications in ante, intra and post-partum period respectively. Pre-term birth was the most common complication in the infants of both twin (39.58%) and triplet (100%) pregnancies. Total perinatal mortality in twin pregnancy was 19.27% and it was 66.67% in triplets.Conclusions: Good antenatal care, with increased rest and nutritional supplementation, early detection of foetal and maternal complications together with thorough intranatal and postnatal vigilance, can lower both maternal and foetal dangers.

Keywords: multiple gestation, maternal outcome, pre-term, perinatal.