A Hospital Based Study On Neonatal Outcome In Monochorionic And Dichorionic Twin Pregnancies

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dc.contributor.authorRamteke, Mamtaen_US
dc.contributor.authorSable, Pavanen_US
dc.contributor.authorGaikwad, Sunitaen_US
dc.contributor.authorUbale, Milinden_US
dc.date.accessioned2019-11-25T05:29:56Z
dc.date.available2019-11-25T05:29:56Z
dc.date.issued2019-05
dc.description.abstractBackground: Twin pregnancies account for 2 to 4% of the total number of births. Twin pregnancies are associated with signicantly higher morbidity and mortality than are singleton pregnancies. Among the twin pregnancies, Dichorionic pregnancies occur in 70% of the total twin pregnancies. Monochorionic twins are at higher risk twins for perinatal complications. The objective of the present study is to analyze neonatal outcomes associated with Monochorionic and Dichorionic twin pregnancies. Material and Methods: The study was Retrospective and Hospital based study conducted in Tertiary Care Hospital in Mumbai in 2018. The sample size was 50 (N=50). The patients with maternal co-morbidities like DM or other systemic illness were excluded from the study. The patients were divided into two groups, viz. Monochorionic or Dichorionic twins. The maternal age and its association with Monochorionic and Dichorionic twin pregnancy are studied. The neonatal outcome in Monochorionic and Dichorionic twins were then analyzed in terms of Birth weight, NICU stay, Neonatal deaths, etc. Statistical analysis: The maternal age and the various neonatal outcomes in Monochorionic and Dichorionic twin pregnancy were recorded. The student t test was used to compare the difference in both groups. Results: The maternal age was almost similar in both Monochorionic and Dichorionic twin pregnancies. The mean Birth Weight was more in Dichorionic group (p < 0.05). The Neonatal Outcomes like IUFD, TTTS and Discordant growth were more common in Monochorionic group as compared to Dichorionic group. Conclusion and Recommendations: Twin pregnancy rates have increased in the past 25-30 years, particularly in developing countries. The reasons may be more advanced maternal age and increased use of assisted reproductive techniques. The neonatal mortality and morbidity in twin deliveries is high in Monochorionic pregnancy as compared to Dichorionic pregnancy. The early identication of chorionicity in early pregnancy is necessary to prevent neonatal complications.en_US
dc.identifier.affiliationsAsst. Professor, Department Of Obstetrics And Gynaecology, Rajiv Gandhi Medical College, Chhatrapati Shivaji Maharaj Hospital , Thane Belapur Road , Kalwa, Thane, MS (400605) Indiaen_US
dc.identifier.affiliationsAsst. Professor, Department of Community Medicine, Seth G.S. Medical College & K.E.M. Hospital, Mumbai, MS (400012) India *Corresponding Authoren_US
dc.identifier.affiliationsAssociate Professor, Department Of Obstetrics And Gynaecology, Rajiv Gandhi Medical College , Chhatrapati Shivaji Maharaj Hospital, Thane Belapur Road, Kalwa, Thane, MS (400605) Indiaen_US
dc.identifier.affiliationsProfessor And Head, Department Of Microbiology, Rajiv Gandhi Medical College, Chhatrapati Shivaji Maharaj Hospital , Thane Belapur Road , Kalwa, Thane, MS (400605) Indiaen_US
dc.identifier.citationRamteke Mamta, Sable Pavan, Gaikwad Sunita, Ubale Milind. A Hospital Based Study On Neonatal Outcome In Monochorionic And Dichorionic Twin Pregnancies. International Journal of Scientific Research. 2019 May; 8(5): 46-48en_US
dc.identifier.issn2277-8179
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/185523
dc.languageenen_US
dc.publisherWorld Wide Journalsen_US
dc.relation.issuenumber5en_US
dc.relation.volume8en_US
dc.subjectMonochorionicen_US
dc.subjectDichorionicen_US
dc.subjectNeonatal Outcomeen_US
dc.titleA Hospital Based Study On Neonatal Outcome In Monochorionic And Dichorionic Twin Pregnanciesen_US
dc.typeJournal Articleen_US
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