TO EVALUATE THE MATERNAL RISK OF TWIN PREGNANCY
Keywords:
Key Words:- Fetus, Implant, Endometrium, ART, Parity.Abstract
Introduction:- Twin pregnancy occurs when two fetuses implant within the endometrium. There has ensued sudden increase in the incidence due to discovery of new methodologies by the latest machinery. Assisted Reproductive Technology (ART) is the better example n this regard. On its contrary, twin pregnancy has also resulted into multiple complications for mother and baby both. Both can enter into perilous situations owing to these complications. These are all dependent on the predisposing factors viz race, increased maternal age and parity, weight of mother and number of previous twin pregnancies.
Aims and objective: - The aim is to evaluate the risk factors of twin pregnancies for mother only.
Material and methods:- The study was done in Department of Gyn/Obs Unit 2 at PMCH Nawabshah. This is a cross sectional study. Only pregnant ladies from 18 years to 50 years were selected for the study having the twin pregnancies diagnosed on ultrasound. Patients with single baby were excludd from the criterion. Patients above 50 years were also not the part of our study.
Results:- Total 90 patients were taken for the study. Out of them, 32 (35.55%) were found to have twin pregnancy. Age difference was also among patients. Only 9 (28.12%) were aged from 18-30 years whereas 22 (68.75%) had age ranged from 31-45 years and only 1 (3.12%) were of age from 46 to 50 years. Twin pregnancy poses great threat to mother’s life. 01(3.12%) patients come with complain of gestational hypertension and 05 (15.62%) suffered from gestational diabetes. Ante-partum Hemorrhage was found in 01(3.12%) patient whereas postpartum hemorrhage was seen in 05(15.62%). Anemia was positive in 20 (62.5%). 02 (6.24%) patients developed dysponea. None was found with gestational thrombocytopenia. 05(15.62%) patients had undergone miscarriage. 17 (53.21%) were operated for caesarean section.
Conclusion:- it is concluded that twin pregnancies pose threat of complications but these can be managed early by taking effective steps.
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