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Abstract Introduction: Twins are two offspring produced in same pregnancy. Although rare, development of three fetuses (triplets), four fetuses (quadruplets), five fetuses (quintuplets) or six fetuses (sextuplets) may also occur, though twin pregnancy is the commonest. This pregnancy accounts for a disproportionate share of adverse obstetric and neonatal outcome and is associated with an increased risk of preterm deliveries, perinatal morbidity and mortality and maternal complications8. Women with twin gestation are 6 times more likely to be hospitalized for antepartum complications, most frequently preterm labour, preterm premature rupture of membranes and pre-eclampsia. Aims and objectives: To study the obstetric and medical complications in twin pregnancy Materials and Method: The present study was conducted in the in post graduate Department of Obstetrics and Gynaecology of SMGS hospital, Government Medical Collage Jammu. Data was collected from November 2013 to octomber 2014. All women admitted to the labour room after clinical or ultrasound diagnosis of twin gestation were enrolled in the study. Women with less than 28 weeks of gestation were excluded. Women with preexisting medical disorder e.g. cardiac disorder, renal disorder, vasculopathies etc were also excluded. Thus total 195 mothers with twin pregnancies were enrolled during the study. Informed consent was obtained. Data was collected on a predesigned semi structured proforma on which patient’s demographics data, risk factor for twin pregnancy, gestation, haemoglobin, mode of delivery, antepartum, intrapartum and postpartum complication comprising severe anaemia, pregnancy-induced hypertension, pre-eclampsia, eclampisa and antepartum haemorrhage was recorded. The collected data was analyzed using proper statistical method. Results: Majority of the mothers were in the age group of 21 to 30 year of age. The mean gestational age at the time of delivery is 35.43 ± 1.95 weeks. The present study comprises of 54.35% of multigravida with mean parity of 1.85. The family history of twin pregnancy was observed in 10.26% of cases. Anemia was present in 83.69% of cases. Hypertensive disorders are present in 47.18% of all cases. 12.82% of cases have premature rupture of membranes. Preterm labour was observed in 41.03% of cases. APH was seen in five 2.56% of patients. Among them abruption was present in three 1.53% patients and placenta previa was seen in two patients 1.02% of cases. The mode of delivery was vaginal in 60% of cases and caesarean in 39.49%. Conclusion: Thus in the end we conclude that Anaemia, Hypertensive disorders, PROM and Preterm Labour were he common complication observed in mothers with twin pregnancy.

Keywords: twin pregnancy, Anemia Hypertensive disorders, Preterm Labour.


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