Amudha S, Chaitra Sathyanarayana
OBJECTIVES: The objective of the present study is to analyse the incidence of preterm labour, intrapartum complications, incidence of operative delivery both vaginal and cesarean and indications for such interventions. METHODOLOGY: A total of 150 cases of twin pregnancy were analyzed between the period of September 2012 to February 2014. These cases were studied with respect to period of gestation at the onset of labour, fetal presentations at the onset of labour, route and mode of delivery, indications in cases of cesarean delivery, intrapartum complications and delivery interval between twins. OBSERVATIONS AND RESULTS: In the present study there was increased incidence of preterm labour (52.6%), fetal malpresentations (43.3%), operative vaginal delivery (29.5%), cesarean delivery (17.3%). CONCLUSION: In this study it is observed that above mentioned labour events and complications double up in the event of a twin pregnancy. Regular antenatal visits, planned delivery and anticipation and identification of complications will help for better pregnancy outcome
