FETOMATERNAL OUTCOME IN WOMEN WITH TWIN PREGNANCY PRESENTING AT TERTIARY CARE TEACHING HOSPITAL
DOI:
https://doi.org/10.71000/bbsv3p80Keywords:
Twin pregnancy, fetomaternal outcomes, preterm labor, low birth weight, NICU admission, anemia, pregnancy-induced hypertension.Abstract
Objective: To evaluate the fetomaternal outcome in women with twin pregnancy presenting at tertiary care teaching hospital.
Methodology: This descriptive study was conducted from 19-September-2024 to 19-March-2025. Eighty women with twin pregnancies who were aged between 15 to 35 years were selected. Fetomaternal outcomes were assessed which included, NICU admissions, low birth weight, preterm birth, perinatal mortality, preterm labor, anemia, pregnancy-induced hypertension and postpartum hemorrhage.
Results: We found that a large number of the women experienced preterm labor 51.2% while 47.5% were diagnosed with anemia. The neonatal outcomes revealed that 80% of the neonates had low birth weight and 52.5% required NICU admission. Perinatal mortality occurred in 5% of the neonates. Pregnancy-induced hypertension was observed in 20% patients.
Conclusion: Twin pregnancies present potential maternal and neonatal risks such as preterm labor (51.2%), anemia (47.5%), and pregnancy-induced hypertension (20%) while neonatal outcomes such as low birth weight (80%) and NICU admissions (52.5%).
References
Horon I, Martin JA. Changes in Twin Births in the United States, 2019-2021. Natl Vital Stat Rep. 2022;71(9):1-11.
Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies: ACOG Practice Bulletin, Number 231. Obstet Gynecol. 2021;137(6):145-162.
Aviram A, Lipworth H, Asztalos EV, Mei-Dan E, Melamed N, Cao X, Zaltz A, et al. Delivery of monochorionic twins: lessons learned from the Twin Birth Study. Am J Obstet Gynecol. 2020;223(6):916-20.
Barrett JF, Hannah ME, Hutton EK, Willan AR, Allen AC, Armson BA, et al. Twin Birth Study Collaborative Group. A randomized trial of planned cesarean or vaginal delivery for twin pregnancy. N Engl J Med. 2013;369(14):1295-305.
Von Kaisenberg C, Klaritsch P, Ochsenbein-Kölble N, Hodel ME, Nothacker M, Hecher K. Screening, management and delivery in twin pregnancy. Ultraschall in der Medizin-Eur J Ultrasound. 2021;42(04):367-78.
Segal NL. The New Sesquizygotic Twins and More: Exotic Twin Types/Twin Research Reviews: Parental Affection and Co-Twins’ Personality; Prenatal Demise in Twin Pregnancies; Heteropaternal Superfecundation; Selective Feticide in Dichorionic Twins/In the News: Identical Twin Oscar Winner;‘Superfecundated’Twins with Gay Fathers; Partly Living Apart; Which Twin Committed the Crime?. Twin Res Human Genet. 2019;22(3):195-8.
Shelke P. Twin pregnancy a complicating journey for both mothers and babies: Elaborate review. Int J Basic Clin Pharmacol. 2020.
Baştemur Ş, Aslan AE. Differentiation of Personality and Early Maladaptive Schemas in Identical and Fraternal Twins. J Kirsehir Educ Fac. 2021;22(2):646-77.
Santana DS, Silveira C, Costa ML. Perinatal outcomes in twin pregnancies complicated by maternal morbidity: evidence from the WHO Multicounty Survey on Maternal and Newborn Health. Pregnancy Childbirth. 2018;18:449.
Ma D, Szeto IM, Yu K, Ning Y, Li W, Wang J et al. Association between gestational weight gain according to prepregnancy body mass index and short postpartum weight retention in postpartum women. Clin Nutr. 2015;34(2):291-5.
Kumari K, Misra M, Jhanwar A, Kumari A. Fetomaternal Outcome in Twin Pregnancies: A Retrospective Analysis from a Tertiary Care Center. J Clin Diagn Res. 2020.
Rani PS, Prathyusha SI, Kumari R. A study of feto-maternal outcomes in twin gestation. Int Arch Integr Med. 2020;7(l):73-7
Akhter S, Islam M, Zaman L, Alam ST, Banu FA. Fetomaternal Outcome of Patients with Multiple Pregnancy: A Single Centre Experience. Sch Int J Obstet Gynecol. 2022;5(11):522-526.
Sundaram S, Govindaraj K. Fetomaternal outcome in multiple pregnancy. Int J Reprod Contracept Obstet Gynecol. 2021;10(12):4407-4412.
Kundariya KR, Shah JM, Mewada BN, Shah MM, Patel AS. Fetomaternal Outcome in Twin Pregnancy. J South Asian Fed Obstet Gynaecol. 2022;14(6):663-666.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Nuzhat Afza, Khwja Fawad Pervez, Ayesha Fayyaz, Ghazala Naz (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.