Zaib Un Nisa, Bilqees Ara, Farida Kakar.
Prevalence of Child Birth or Fetal Death and complications Associated to Twin Pregnancy with respect to Mode of Delivery.
Pak J Med Health Sci Jan ;12(4):1673-5.

Aim: To examine the prevalence of mortality in twin pregnancies and complications associated to it with respect to delivery mode. Methods: This descriptive/cross-sectional study was conducted at Department of Gynecology and Obstetrics Unit ll, Sandeman Provincial Teaching Hospital Quetta over a period of one from 01.01.2017 to 31.12.2017. One hundred and ten booked and un-booked mothers whom were expected with twin pregnancy were included. Patient’s ages were ranging from 20 to 45 years. Patient’s detailed history was examined including age, socio- economic status and education etc after taking informed consent from all the patients. Complications and fetal death during delivery were noted. Mode of delivery was selected after clinical examination. All the statistical data was analyzed by SPSS version 19.0. Results: Out of all one hundred and ten patients, 53 (48.18%) patients were ages between 20 to 29 years, 38 (34.55%) patients had ages 30 to 39 years while 19 (17.27%) patients were ages > 39 years. 62 ( 56.36%) patients had rural residency while 48 (43.64%) patients had urban residency. 48 (43.64%) patients were literate. 70 (63.64%) patients were booked while 36.36% were un-booked. Mode of delivery was noted as assisted breech delivery, Vacuum deliver, Forceps, C-section and spontaneous vaginal delivery as 20 (18.18%), 2 (1.81%), 3 (2.73%), 45 (40.90%) and 40 (36.36%). Mostly death was noted in C-section delivery mode 15 (13.63%) and they all are un-booked cases. Preterm delivery was the most common complication assisted to twin pregnancy was observed in 45 (40.91%) patients. Conclusion: It is concluded that mostly perinatal deaths were observed in C-section delivery and all were un- booked cases. It may be due to not having sufficient information of patients therefore mostly patients were treated with caesarean section delivery and most of deaths fetal deaths were recorded.

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