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Original Article | Obstetrics and Gynecology | Volume 15 Issue 4, April 2026 | Pages: 80 - 86 | India
A Study of Fetomaternal Outcome in Case of Twin Gestation Over One Year
Abstract: Background: The incidence of twinning and higher order gestation has increased dramatically over the last two decades. Globally, in the last two decades, with advances in assisted reproductive technology (ART), older maternal age and widespread use of ovulation inducers, the incidence of twin gestation has witnessed a steep increase. Multiple pregnancies are recognized as high-risk pregnancy, associated with increased incidence of adverse pregnancy outcomes and risk for both maternal and foetal morbidity and mortality. Methods: A one year hospital based prospective study involving detailed medical records of patients with twin gestation in a tertiary care centre between 1st January 2023 and 31st December 2023. Results: Total twin deliveries during the study period were 352. The incidence of twin gestation during the study period was 3.93%. In present study there were maximum patients - 48% in the category of 25-30 years. While 35% patients were noted in 20-24 year age group, 13% patients in 31-35 year age group and 4% patients in 36- 40 year age group. In this study 53% patients were primipara patients. While 47% were multipara. In present study spontaneous conception was seen in 75% cases while amongst ART conceived, 10% were by ovulation induction, 7% each by IVF and IUI and 1% by ICSI. 63% cases of DCDA twins were noted, 31% of MCDA twins and 6% of MCMA twins. In this study 30% patients were of term gestation while 70% were preterm. Complications in this study include 52% cases of anemia, 25% cases of preeclampsia, 37% cases with preterm labor, 18% patients with PROM. Total of 40% patients delivered by caesarean section while 58% patients delivered by normal vaginal delivery. Indications of caesarean section included malpresentations such as breech and transverse lie in 62.5% patients. In this study 82% cases of low birth weight were noted and only 18% cases with normal birth weight. In this study 79% babies required NICU admission. Conclusion: The incidence of multifetal pregnancies has markedly risen in recent decades, primarily due to the widespread adoption of assisted reproductive technologies and delayed childbearing age. All mothers with twin pregnancy should be counselled regarding possible complications, as compared to singleton pregnancy. Preterm labor is the leading cause of increased perinatal mortality in twin gestation due to prematurity. Most complications in twin pregnancies can be mitigated through rigorous antenatal and labor protocols, including addressing anaemia, treating infections, managing hypertensive disorders, and preventing/treating postpartum haemorrhage.
Keywords: Preterm, Preclampsia, Artificial reproductive techniques, malpresentation, Anaemia, Post partum haemorrhage, IUGR
How to Cite?: Dr. Sharvari A Khandkar, Mahima Jain, "A Study of Fetomaternal Outcome in Case of Twin Gestation Over One Year", Volume 15 Issue 4, April 2026, International Journal of Science and Research (IJSR), Pages: 80-86, https://www.ijsr.net/getabstract.php?paperid=SR26331221735, DOI: https://dx.dx.doi.org/10.21275/SR26331221735