EPIDEMIOLOGICAL PROFILE AND FETO-MATERNAL OUTCOME OF TWIN PREGNANCY: A PROSPECTIVE OBSERVATIONAL STUDY

Area of Science:

• Obstetrics and Gynecology
• Perinatology
• Maternal-Fetal Medicine

Background:

• Twin pregnancies present unique challenges and risks for both mothers and infants.
• Understanding specific maternal and fetal outcomes is vital for clinical practice.
• Identifying influencing factors can improve management strategies for twin gestations.

Purpose of the Study:

• To investigate the maternal and fetal outcomes in twin pregnancies.
• To analyze factors influencing these outcomes, including maternal age and delivery mode.

Main Methods:

• A prospective observational study followed women with twin pregnancies beyond 28 weeks gestation.
• Outcomes were assessed up to 7 days postpartum and analyzed against patient parameters.
• Statistical analysis was performed using SPSS V 26, adhering to ethical guidelines.

Main Results:

• Of 22,922 deliveries, 195 were twin pregnancies, predominantly in women aged 20-29.
• High rates of preterm delivery (59.6%), maternal anemia (54%), and NICU admissions (45.45%) were observed.
• No significant differences in feto-maternal outcomes were linked to delivery mode or booking status.

Conclusions:

• Twin pregnancies are linked to increased risks of preterm birth, maternal anemia, and NICU admissions.
• Delivery method and booking status did not significantly alter feto-maternal outcomes.
• Individualized patient care is crucial for optimizing management of twin pregnancies.