TWIN PREGNANCY OUTCOMES BETWEEN PLANNED AND UN-PLANNED CASES AT TERTIARY CARE CENTER

Dr. Sawai Khatri*, Dr. Khetaram Soni, Dr. Nikita Chandrakar and Dr. Junjharam Khichar

ABSTRACT

Background: If a twin pregnancy is not diagnosed, it increases the risk to the mother and also raises the likelihood of perinatal mortality. In 75% of cases, twin pregnancies are identified before delivery[2], but there are instances where they are detected at later stages, which is regrettable because early intervention for both the mother and children can be very beneficial. Aim: To determine the prevalence of planned and un- planned twin pregnancies, as well as perinatal mortality among them at a tertiary care institution. Methods: From September 2021 to September 2022, a descriptive case series research was carried out in the Department of Gynae/Obs at Government Medical College Barmer (Raj). Non-probability Consecutive sampling was used to pick a total of 80 patients. Results: The study included a total of 80 patients with twin pregnancy. Among them, 36 (45%) were aged between 18-30 years, 24 (30%) were aged between 31-40 years, and 16 (20%) were aged between 41-45 years. Out of these patients, 32 (40%) had planned deliveries while 48 (60%) did not. Among the planned deliveries, 2 (2.5%) resulted in perinatal mortality while 28 (35%) did not. On the other hand, among the unplanned deliveries, 12(25%) resulted in perinatal mortality while 36 (75%) did not. The main causes of perinatal mortality were meconium aspiration syndrome, which was present in 8 (10%) of the patients, followed by birth asphyxia in 4 (5%) of the patients and neonatal sepsis in 4 (5%) of the patients. Conclusion: The patient should be given enough information about the benefits of regular prenatal examinations so that perinatal mortality in twins pregnancies can be reduced by early detection in the antenatal period and appropriate management.

Keywords: Perinatal Mortality, Twin Pregnancy, Booked Cases.