Perinatal Outcome of Twin Gestation: A Study of 100 Twin Pregnancies

BACKGROUND: Perinatal mortality is an index of obstetric care. Recent advances in obstetrics & neonatology have dramatically improved perinatal outcome in various types of high risk pregnancies. Nonetheless the risk in twin gestation remains significantly higher than that of singleton. AIMS AND OBJECTIVE: To find out perinatal mortality & morbidity in twin gestation and the factors affecting the same. STUDY SETTING: A tertiary care hospital attached to Seth GS Medical College, Mumbai. STUDY DESIGN: A retrospective observational study. MATERIALS AND METHODS: Study of 100 successive twin deliveries in a tertiary care hospital over a period of 28 months, excluding the Births less than 28 weeks. Perinatal outcome in all these patients was studied. Different factors affecting perinatal mortality & morbidity were studied. DATA ANALYSIS: Rates, Ratios, Proportions and Chi-square tests. CONCLUSION: In spite of so many advances in obstetrics & neonatology, the perinatal mortality in twin gestation is still alarmingly high. In present study the perinatal mortality was 18% & NICU admission rate was 25.5%.In conclusion it can be said that early diagnosis, proper antenatal care, vigilance during labour and good NICU facilities can improve the perinatal outcome in twin gestation.