Rabeya Begum1, Shamsunnahar Begum (Hena)2
1. Assistant Professor, Department of Obs and Gynae, North East Medical College, Sylhet
2. Professor, Department of Obs and Gynae, Sylhet MAG Osmani Medical College, Sylhet
Abstract
Aim of this study was to determine the different complications of twin pregnancy during pregnancy delivery and in post partum period: finally to draw a management plan to reduce maternal and feul mortality and morbidity. This Cross sectional observational study with 50 patients was conducted in the department of Obs and Gynae, Sylhet M.A.G. Osmani Medical College hospital, over a period of one year from January to December 2003. Data were collected by pre designed questionnaire. This study revealed the incidence of twin pregnancy was higher in multipara (62%). The commonest age group was 20-29 years (54%) followed by the group in 30-35 years (38%), 70% patients were admitted with 35-40 weeks pregnancy, 22% with 29-34 weeks pregnancy, 2% with below 22 weeks pregnancy & none were admitted on or after 40 weeks pregnancy. Family history was present in 34% patient and 4% patient had history of ovulation induction. Common maternal complications were preterm labour (48%), anamia (30%) & hypertensive disorder (16%). In 44.90% and 42.85% both the twin was delivered by veginal delivary and caesarean section respectively, but in 12.25% cases 1″ twin was delivered by vaginal delivary and 2 twin by caesarean section. Pertinatal morbidity were as follows- intra uterine growth retardation (50%), respiratory distress (25%) congenital anomaly (2%), hypoglycaemia (2%), neonatal sepsis (3%). Perinatal moratality was 12.24%. Maternal morbidity, perinatal mortality and morbidity were significantly high in twin pregnancy. Twin pregnancy demands much more antenatal, intranatal and postnatal care including sophisticated neonatal support to reduce immediate and long term complication.
Key words: Twin pregnancy, maternal complication, fetal complication.