Original Research Article 183 | Page Int J Med Res Prof.2016; 2(6); 183-85. www.ijmrp.com A Study of Feto-Maternal Outcome in Twin Pregnancy Anjum Ara 1 , Bharti Saxena 2 , Ansar Khan 3 , Rambabu Meena 4 , Anju Meena 5 1 M.B.B.S, MS (Obs & Gynae), Medical officer, CHC, Bijolia, Bhilwara, Rajasthan, India. 2 Professor & Unit Head, Department of Obstetrics and Gynaecology, J. K. Lon Mother and Child Hospital, Government Medical College, Kota, Rajasthan, India. 3 M.B.B.S, MS (Gen. Surgery), Medical officer, CHC, Bijolia, Bhilwara, Rajasthan, India. 4 Assistant Professor, Department of General Surgery, S. P. Medical College, Bikaner, Rajasthan, India. 5 Senior Resident, Department of Anaesthesiology, S. P. Medical College, Bikaner, Rajasthan, India. ABSTRACT Background: The rate of twin’s births continues to increase and the number of higher order multiple births has plateaued. Twin pregnancies are associated with a variety of maternal and fetal complications several studies suggest that twin gestation imposes greater demands on the maternal physiological system than do singleton pregnancies. The aim of this study to maternal and perinatal outcome of twin pregnancies at our institution. Materials & Methods: The study was undertaken in 180 patients with twin pregnancies attending the Jay Kay Loan Hospital attached to Govt. Medical College, Kota during October 2011 to September 2013 time period. Ante partum, intrapartum, postpartum complications were noted. Data was analyzed using Microsoft excel and SPSS v 16 software. Results: In present study observed that out of 140 cases of 1 st twin presenting as vertex there were 27 (19.28%) perinatal deaths whereas out of 116 cases of 2 nd twin presenting as vertex there were 26 (22.41%) perinatal deaths. Apart from preterm labor patients needed preterm induction/caesarian section for other obstetric or medical reasons hence the total no. of preterm deliveries was 82.21%. Conclusion: Antenatal care needs to be further improved so that all pregnant women are covered. However bigger and multi centric trails are needed to compare the outcome after vaginal delivery and caesarian section. Key Words: Twin Pregnancy, Caesarian Section, Foetal Outcome, Maternal Outcome. *Correspondence to: Dr. Anjum Ara, M.B.B.S, MS (Obs & Gynae), Medical officer, CHC, Bijolia, Bhilwara, Rajasthan, India. Article History: Received: 13-10-2016, Revised: 05-11-2016, Accepted: 23-11-2016 Access this article online Website: www.ijmrp.com Quick Response code DOI: 10.21276/ijmrp.2016.2.6.038 INTRODUCTION The incidence of twins is on the rise due to a variety of reasons like increased use of assisted reproductive techniques and increasing no of women having pregnancy at advanced age. 1 As recently as the early 1980s twin pregnancies and births was a relatively rare event and higher order multiple were of negligible consequence. Over the past two decades the number and rate of twins and other higher order multiple births have increased at an unprecedented pace. This increase has been fuelled largely by infertility therapy. Between 1980 and 2001, the number of twin deliveries rose 77% and number of higher order multiple births soared 459%. The rate of twins births continues to increase and the number of higher order multiple births has plateaued. 2 The frequency of naturally occurring twins is approximately one in 80 births. Twin births are by far the most common multiple births. There are two types of twin pregnancy: fraternal and identical. 2 The cause of twining is not known. The frequency of monozygotic twins remains constant throughout the globe and is probably related to maternal environment. It is the wide variation in the prevalence of binovular twins which is responsible for fluctuation in the overall incidence of twins in different population. 2 Twin pregnancies are associated with a variety of maternal and fetal complications several studies suggest that twin gestation imposes greater demands on the maternal physiological system than do singleton pregnancies. 3-5 An increased incidence of maternal complications in pregnancy is due to the burden on the adaptive capacity of mother. The aim of this study to maternal and perinatal outcome of twin pregnancies at our institution. MATERIALS & METHODS The study was undertaken in 180 patients with twin pregnancies attending the Jay Kay Loan Hospital attached to Govt. Medical College, Kota during October 2011 to September 2013 time period. All cases were managed carefully during labor. Course of labor, mode of delivery and outcome of labor including foetal outcome was noted in detail. Date and time of delivery and duration of labor