Scholarlink

Introduction <p>Multifetal pregnancy is a high-risk pregnancy and a challenge for obstetricians globally. This observational study aims to determine the demographic data of mothers with multifetal pregnancies, the outcomes during the antenatal period, labor and postnatal period, the fetal complications in multifetal pregnancies, and the mode of delivery in these cases.</p> Methodology <p>A prospective observational, monocentric study was done at Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai.104 patients with multifetal pregnancy who had either aborted or delivered in our tertiary care centre during the study period of 18&#xa0;months (all patients with multifetal pregnancy—registered/ unregistered/ referred and irrespective of the pregnancy outcome [abortus, livebirth or stillbirth] were included). Demographic factors, Obstetric history and treatment history were recorded; gestational age at delivery, and high-risk factors were noted. Mode of delivery and indication of LSCS were noted from the labor case records. Details of the maternal and neonatal complications in the antenatal period or during the hospital stay were obtained from the indoor papers.</p> Results <p>Among the 104 cases, 97 (93.26%) were spontaneous conception, 2 cases (1.94%) were through IVF, 4 cases (3.8%) with ovulation induction and 1 case (1%) was through ovulation induction and intrauterine insemination (OV + IUI). The study included 103 twins and 1 (0.96%) triplet pregnancy. Out of the twin gestations, 94 cases (90.39%) were dichorionic diamniotic, 7 cases (6.73%) were monochorionic diamniotic twins, 2 cases (1.92%) were monochorionic monoamniotic, and no case of conjoined twins was found. Preterm delivery was observed in 82 patients (78.8%) while 22 cases (21.2%) were term at delivery. Maximum cases(78 cases) delivered between 28 and 37&#xa0;weeks (75%) of gestation. 11 cases (10.6%) delivered &lt; 28&#xa0;weeks of gestation while only 15 cases (14.4%) delivered &gt; 37&#xa0;weeks gestation at the time of delivery. Mode of delivery was emergency LSCS in 58 cases (55.85%), vaginal delivery for both babies in 35 cases (33.65%), elective LSCS in 4 cases (3.8%), and instrumental delivery in 2 cases (1.9%). Emergency LSCS for the second twin was done in 5 cases (4.80%). Most common indication of Cesarean section in our study was fetal distress. The most common presentation in our study was cephalic- cephalic 63 (60.6%) followed by cephalic breech 19 (18.3%). This study also included the maternal complications in multifetal pregnancies, the most common antenatal complication encountered was anemia (27.88%). 17 cases (16.34%) had PPROM whereas 12 cases (11.53%) had hypothyroidism. Non-cephalic presentation was seen in 11 cases (10.57%).Only 26 babies were transferred to the mother (12.44%) while the rest 169 (80.86%) were admitted in NICU. 14 IUFDs (6.70%) and 7 neonatal deaths (3.34%) were noted.</p> Conclusion <p>Multifetal pregnancies should be taken care of at a tertiary care center where good obstetric care can be given due to higher incidence of LSCS, preterm delivery and management of labor. A well- equipped NICU is also necessary as majority of the babies (80.86%) required NICU care. This will play a key role in improving maternal and fetal outcomes. This research also adds valuable Indian data findings on high-risk factors and outcomes in multifetal pregnancy.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

An Observational Study to Determine the Maternal and Fetal Outcomes in Multifetal Pregnancies at an Urban Tertiary Care Centre

  • 期刊论文

  • 发表日期：

    2025年11月26日

查看全文
  • Shreya Kampoowale,
  • Pradnya Changede,
  • Niranjan Chavan,
  • Arun Nayak

摘要

Introduction

Multifetal pregnancy is a high-risk pregnancy and a challenge for obstetricians globally. This observational study aims to determine the demographic data of mothers with multifetal pregnancies, the outcomes during the antenatal period, labor and postnatal period, the fetal complications in multifetal pregnancies, and the mode of delivery in these cases.

Methodology

A prospective observational, monocentric study was done at Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai.104 patients with multifetal pregnancy who had either aborted or delivered in our tertiary care centre during the study period of 18 months (all patients with multifetal pregnancy—registered/ unregistered/ referred and irrespective of the pregnancy outcome [abortus, livebirth or stillbirth] were included). Demographic factors, Obstetric history and treatment history were recorded; gestational age at delivery, and high-risk factors were noted. Mode of delivery and indication of LSCS were noted from the labor case records. Details of the maternal and neonatal complications in the antenatal period or during the hospital stay were obtained from the indoor papers.

Results

Among the 104 cases, 97 (93.26%) were spontaneous conception, 2 cases (1.94%) were through IVF, 4 cases (3.8%) with ovulation induction and 1 case (1%) was through ovulation induction and intrauterine insemination (OV + IUI). The study included 103 twins and 1 (0.96%) triplet pregnancy. Out of the twin gestations, 94 cases (90.39%) were dichorionic diamniotic, 7 cases (6.73%) were monochorionic diamniotic twins, 2 cases (1.92%) were monochorionic monoamniotic, and no case of conjoined twins was found. Preterm delivery was observed in 82 patients (78.8%) while 22 cases (21.2%) were term at delivery. Maximum cases(78 cases) delivered between 28 and 37 weeks (75%) of gestation. 11 cases (10.6%) delivered < 28 weeks of gestation while only 15 cases (14.4%) delivered > 37 weeks gestation at the time of delivery. Mode of delivery was emergency LSCS in 58 cases (55.85%), vaginal delivery for both babies in 35 cases (33.65%), elective LSCS in 4 cases (3.8%), and instrumental delivery in 2 cases (1.9%). Emergency LSCS for the second twin was done in 5 cases (4.80%). Most common indication of Cesarean section in our study was fetal distress. The most common presentation in our study was cephalic- cephalic 63 (60.6%) followed by cephalic breech 19 (18.3%). This study also included the maternal complications in multifetal pregnancies, the most common antenatal complication encountered was anemia (27.88%). 17 cases (16.34%) had PPROM whereas 12 cases (11.53%) had hypothyroidism. Non-cephalic presentation was seen in 11 cases (10.57%).Only 26 babies were transferred to the mother (12.44%) while the rest 169 (80.86%) were admitted in NICU. 14 IUFDs (6.70%) and 7 neonatal deaths (3.34%) were noted.

Conclusion

Multifetal pregnancies should be taken care of at a tertiary care center where good obstetric care can be given due to higher incidence of LSCS, preterm delivery and management of labor. A well- equipped NICU is also necessary as majority of the babies (80.86%) required NICU care. This will play a key role in improving maternal and fetal outcomes. This research also adds valuable Indian data findings on high-risk factors and outcomes in multifetal pregnancy.