OUTCOME OF TWIN PREGNANCY IN UNBOOKED CASES

Twin Pregnancy

Abstract

A descriptive study was carried out to assess the outcome of twin pregnancy in unbooked cases. This study was conducted in Military Hospital, gynae department, Rawalpindi, over a period of 1 year from 1 July 2002 to 31 June 2003. Total of 60 patients with twin pregnancy was included. The inclusion criteria were all unbooked cases who had completed twenty-eight weeks of pregnancy with twin gestation. Evaluation was done by detailed history and data was collected. Antenatal, intrapartum and postnatal complications as well as perinatal mortality and morbidity were noted. All 60 cases were unbooked. Majority came from distant places and belonged to age group of 20-40 years. The rate of instrumental deliveries was 30% and frequency of caesarean section was 41.6%. obstructed labour occurred in 4 patients (6.6%), and postpartum haemorrhage occurred in 9 patients (15%) the perinatal mortality was high in twin pregnancy as compared to singleton pregnancy. Twin pregnancy is a high risk pregnancy. Diagnosis before delivery is important. The patient should be provided with sufficient information regarding advantages of regular antenatal visits.