FETOMATERNAL OUTCOME IN TWIN PREGNANCY AT A TERTIARY CARE HOSPITAL.

Background The incidence of multiple births has risen in the last 30 years.Two important factors associated with this are the tendency towards increased maternal age and the increasing use of medical assistance for conception.Twin pregnancy is signicant risk factor for maternal and perinatal morbidity and mortality. Aims and Objectives 1.To analyse maternal and fetal complications related to twin pregnancy. 2. Mode of delivery. Materials and Methodology The present prospective observational study was conducted in the postgraduate department of Obstetrics and Gynaecology, Lalla Ded Hospital, an associated hospital of Government Medical College Srinagar over a period of one and a half years from December 2020 to June 2022, after obtaining ethical clearance from institutional ethical committee, during which all twin pregnancies, presenting to the hospital irrespective of gestational age were included. The incidence Results of twin pregnancy in our study was 7 per 1000.The mean maternal age was 30.8 years with most common age group of 30-34 years.Twin pregnancy was most commonly seen in multiparous women (61.4%).Most common underlying comorbidity was hypothyroidism (33.5%).Mean gestational age at the time of delivery was 36.1 weeks with SD of 5.32.Most common fetal presentation was vertex-vertex(51.2%).Most feti were dichorionic diamniotic (66.5%).59.1% women were delivered by casearean section.Most common indication of caesarean was malpresentation (45.8%).Of the maternal antepartum complications, anemia ranked rst which was present in about 59.5%.Preterm labour in 55.8% and hyperemesis in 34.9%.Most common fetal complication was low birth weight in 74.8%, preterm in 42.8% and NICU admission in 33.5%. The knowledge of maternal and fe Conclusion tal complications helps in better surveillance and prevention of adverse outcome. This clearly indicates the need for screening programs for early detection of twin pregnancies, timely referral, better antenatal care and delivery at institution with good neonatal care unit.