to assess the importance of mode of delivery of twin fetus and early diagnosis
Author(s): Dr. Devyani Tiwari, Dr. Mohini Rajoriya
Abstract: Background: The present study of twins was done among the patients admitted in the department of Obstetrics and Gynecology at Maharaja Yashwant Rao Hospital & M.G.M. Medical College, Indore. Examination of patient, Nature, duration & complications of pregnancy & Labor Management of pregnancy and Labor, Fetomaternal outcome. Method: Examination of patients, Nature, duration and complications of pregnancy and labour. Management of pregnancy and labour. Abdominal shape, size, any scar mark was recorded, Uterus whether over distended, presence or absence of any excessive liquor by palpating multiplicity of fetal parts detected & presentation, position & attitude of both fetuses were ascertained. Result: Mode of Delivery of both babies, In 63 cases (73.25%) both twins delivered vaginally. Out of 15 cases in which LSCS was done in 2 cases operation was done only for second of the twins (2.32%) and in 21 cases for both babies (15.11). Out of the 63 cases delivered vaginally, in 35 cases (40.69%) both babies delivered by vertex. Internal podalic version for second baby in transverse lie was done in 01 case. In 02 cases, first baby delivered by vertex, for second baby LSCS was done. In these 2 cases, second baby was in transverse lie and during LSCS was extracted by breech. Conclusion: Ultrasonogaphy was utilized in diagnosing nearly 67 cases, while x-ray was not utilized for diagnosis. In spite of these modalities being available, diagnosis of twins was missed before delivery in nearly (16.27), the main causes being patients admitted in labour and small size of fetuses. Antenatal care in more number of patients will result in more utilization of ultra sonography and can further minimize the percentage of twins undiagnosed before delivery.
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