Prakash B. Prajapati, Pallavi A. Patel, Ankit L. Taviyad
BACKGROUND Multifetal gestation is responsible for a disproportionate amount of overall perinatal mortality and morbidity. Multifetal pregnancies have increased due to fertility treatment for assisted reproductive techniques.1 Aims and Objectives- ï?· To study the maternal and foetal complications in multifetal pregnancy. ï?· To observe the different modes of delivery in multifetal pregnancy. ï?· To study neonatal outcome in multifetal pregnancy. MATERIALS AND METHODS A prospective observational study was carried out at tertiary care centre for one year from June 2016 to June 2017. 30 cases of multifetal pregnancy at or beyond 28 weeks of gestation were enrolled in this study. RESULTS In this study, maximum number of patients having multifetal pregnancy are in 26 -30 year age group. Among these patients 50% were conceived through assisted reproductive techniques and 50% were conceived spontaneously. Maximum (70%) patients are nulliparous. Among these patients, 83% were having DADC twins. Preterm labour is most common complication in this study. 70% patients were delivered by caesarean section and most common indication being precious pregnancy. In this study, there was 1 neonatal death among the twins. CONCLUSION Multifetal gestations have higher maternal and neonatal complications. Preterm delivery and surgical interventions are major complications and has an impact on perinatal outcome.
