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

studies by Chowdhury et al and by Bangal et al where they were observed in 22.6% and 18% cases respectively. 9,13 Low birth weight and prematurity are known leading causes of perinatal morbidity and mortality. The incidence of birth hypoxia, perinatal deaths and NICU requirement increases as gestational age at delivery decreases. The same was noted in present study. V. C onclusions Twin pregnancies are high risk pregnancies with more obstetrical complications compared to singleton pregnancies. Preterm delivery is the most common obstetric complication and rate of caesarean section are more as compared to normal vaginal delivery. Managing twin pregnancy is still a big challenge to the obstetrician. The use of antenatal care services, identification and anticipation of complications, intrapartum management and good NICU facilities will help to improve maternal and neonatal outcome in twin pregnancies. Conflict of interest: None declared Ethical approval: Not required Funding: No funding sources R eferences R éférences R eferencias 1. American College of Obstetricians and Gynecologists: Special problems of multiple gestation. Education bulletin No. 253, 1998. 2. Cruikshank DP. Intrapartum management of twin gestations. Obstet Gynecol. 2007; 109: 1167-76. 3. American College of Obstetricians & Gynaecologists Committee on Practice Bulletins- Obstetrics; Society for Maternal-Fetal Medicine; ACOG Joint Editorial Committee. ACOG Practice Bulletin #56: Multiple gestations: complicated twin, triplet & higher order multifetal pregnancy. Obstet Gynaecol. 2004; 104(4):869-83. 4. Walker MC, Murphy KE, Pan S, Yang Q, Wen SW. Adverse maternal outcomes in multifetal pregnancies. BJoG. 2004; 111: 1294-6. 5. Spellacy WN, Handler A, Ferre CD. A case control study of 1253 twin pregnancies from 1982-1987. Perinatal Data Base. 1990; 75: 198-71. 6. Chowdhury S, Hussain MA. Maternal complications in twin pregnancies. Mymensingh Med J. 2011; 20(1): 83-7. 7. Erdemoglu M, Kale A, Akdeniz N, Yalinkaya A, Ozcan Y. Retrospective analysis of multiple pregnancies. Perinatal Journal. 2005; 13(4). 8. Panwala NM, Mondkar AM, Ranade VR, Purandare VN. Multiple pregnancy. A review of 116 cases. J Postgrad med. 1972 Jul; 18(3):108-114. 9. Chowdhury S. Clinical Study on twin pregnancy, FCPS. Bangladesh College of Physicians and Surgeons, Dhaka, 1998. 10. Sultana H. Fetal and maternal outcome of twin pregnancy-A study of 50 cases. Bangladesh college of Physicians and Surgeons, Dhaka. 1998. 11. Papiernik E, Keith L, Oleszczuk JJ, Cervantes A. What interventions are useful in reducing the rate of preterm delivery in twins? In: Clinical Obstet and Gynecol. 1998:13-22. 12. Brown EJ, Dixon HG. Twin pregnancy. J Obstet Gynaecol Br Common. 1963; 70:251. 13. Bangal VB, Patel SM, Khairnar DN. Study of maternal and foetal outcome in twin gestation at tertiary care teaching hospital. IJBAR. 2012; 3(10): 758. 38 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