Global Journal of Medical Research, E: Gynecology and Obstetrics, Volume 21 Issue 3

were in their peak fertile age i.e., in between 20- and 29- years age. The twins were seen 63.3% among the multi and 36.6% primi gravidas. 68.3% women had registered them for antenatal care and were attending antenatal clinic regularly and 31.6% who were not regular on the antenatal check u. Only 83.3% of women delivered before 37 completed weeks of pregnancy (Table 1). Table 1: Demographic and obstetric profile of the patients (n=60). Maternal profile Number Percentage Age distribution < 20 yrs. 20-29 yrs. 30-35 yrs. > 35 yrs. 4 42 8 6 6.6% 70% 13.3% 10% Parity distribution Primi Multi 22 38 36.6% 63.3% Registration status Booked Unbooked 41 19 68.3% 31.6% Gestational age < 28 wks. 28-32 wks. 32-37 wks. > 37 wks. 3 8 39 10 5% 13.3% 65% 16.6% With respect to chorionicity, 60% of women were dichorionic. Fourteen percent were monochorionic –diamniotic and 6% patients were monochorionic- monoamniotic. Chorionicity was unknown in 20% cases. Vertex- vertex (Vx-Vx) fetal presentation was most common presentation at delivery (52% patients) followed by Breech –vertex (B-Vx) in 18% women. 23.3% women delivered by vaginal route; The caesarean section rate was 76.6%. 31.6% of the caesarean sections were performed electively for fetal malpresentations. Emergency sections were performed for fetal distress, antepartum haemorrhage, cord complications, failure of progress of labour and for second of the twins. Anaemia was noted in (60%). Pregnancy induced hypertension was seen in 35% of women (Table 2). Table 2: Maternal outcome Maternal complication Number Percentage Preterm labour 45 70% HDOP 21 35% Malpresentation 19 31.6% Anaemia 36 60% Hydramnios 4 6.6% APH 2 3.3% PROM 8 13.3% GDM 1 1.6% Caesarean section 46 76.6% PPH 5 8.3% Low birth weight (LBW) in our study was defined as birth weight of <2.5 kg and 85% of the new-borns were LBW. APGAR score of <7 at 1 min was seen in 63.3 % new-borns. Apgar score <7 at 10 min was reported in 66.6% new-borns. Prematurity and low birth weight predisposed majority of early neonatal deaths. These small babies suffered from respiratory distress (42 cases), intrauterine growth restriction (16cases), septicaemia (4 cases), hyper-bilirubinaemia (12 cases) and NICU admission (72 cases). Perinatal mortality in our study was 15%.(Table 3). 36 Year 2021 Global Journal of Medical Research Volume XXI Issue III Version I ( D ) E © 2021 Global Journals A Retrospective Study: Twin Pregnancy at Tertiary Care Centre, Maternal and Perinatal Outcome