Maternal Morbidity and Associated Fetomaternal Outcomes in Women With Twin Pregnanies

Abstract

Objective: Multiple pregnancies still warrants special attention as it is associated with
increasing risk for mother and fetus. Preterm delivery increases the risk for baby. This study was
conducted to evaluate the risks of pregnancy complications and associated fetal and maternal
outcome in women with twin pregnancies.
Material and Methods: It was one year observational study from 1st January 2012 till 31st
December, 2012 at department of obstetrics and gynecology Fatima Memorial Hospital, Lahore.
All women admitted to the labour ward with twin pregnancies after 28weeks of gestation were
included in the study. Main outcome measures were maternal complications (i.e., anaemia,
preterm labour, pregnancy induced hypertension, postpartum hemorrhage etc)and perinatal
morbidity and mortality. All data collected was analysed using SPSS-16.
Results: Majority of women 78(78%) were unbooked and only 22(22%) were booked, 56(56%)
women presented with preterm labor, anemia was found in 72(72%) patients and hypertension in
33(33%) patients. Majority presented between 30-35weeks gestation and 30(30%) patients
delivered at 36weeks and above. The most common cause of neonatal death was very low birth
weight followed by sepsis and jaundice.
Conclusion: Multiple pregnancies are associated with increasing risk for the mother and fetus.
Preterm delivery increases the risk for baby.