A Clinical Study of Maternal and Fetal Outcome in Multifetal Gestation
Author(s): Preethi Y, Geethanjali G and Rupakala BM
Abstract: Background: Multifetal gestation is a high-risk obstetric syndrome linked to elevated mother and fetal morbidity and death. The increasing utilization of assisted reproductive technologies (ART) has led to a rise in multiple pregnancies, requiring meticulous assessment of the related effects.
Objectives: To investigate maternal and fetal outcomes in multifetal gestation and compare them with singleton pregnancies, focusing on chorionicity and mode of conception.
Methods: A prospective observational study was performed at a tertiary care hospital over six months, involving 41 women with multifetal gestation and 41 singleton pregnancies as a control group. We looked at maternal problems, the kind of delivery, chorionicity, the type of conception, newborn outcomes, and perinatal morbidity and mortality. We used the right tests to do a statistical analysis, and p < 0.05 was judged significant.
Results: Multifetal gestation correlated with increased maternal problems, including anemia (31.7%), preterm labor (26.8%), and hypertensive disorder of pregnancy (19.5%). The mean gestational age at birth was substantially lower in multifetal pregnancies (35.1 ± 2.1 weeks) compared to singleton pregnancies (38.2 ± 1.4 weeks; p < 0.001). Seventy percent of the instances were dichorionic diamniotic twins, and thirty percent were monochorionic diamniotic twins. Assisted reproduction constituted 26.8% of multifetal pregnancies. Twins had worse neonatal outcomes, with lower birth weights, more NICU admissions, and a perinatal fatality rate of 4.8%.
Conclusion: Having more than one fetus in the womb greatly raises the dangers for both the mother and the baby. Chorionicity and assisted reproductive technologies significantly influence results. To get better results, it is important to diagnose early, keep a close eye on the mother during pregnancy, and have the baby at a hospital with a NICU.
Pages: 1685-1688 | 83 Views | 43 Downloads
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