Maternal Outcome in Monochorionic v/s Dichorionic Twin Pregnancies – A Comparative Study
Journal of Medical Science And clinical Research
Twin pregnancy is associated with a high risk of perinatal, as well as maternal, mortality and morbidity. The excess perinatal mortality and morbidity is higher in monochorionic than dichorionic twin pregnancy due to the placental anastomoses invariably present in the monochorionic placenta. However, little is known about the differences in maternal risks in monochorionic and dichorionic twins. Objectives: To find out the incidence of monochorionic and dichoriomic twin pregnancies in our
... ncies in our hospital and to compare the antenatal, intrapartum and postpartum complications of the mother with respect to chorionicity. Materials & Methods: This is a descriptive study conducted in a prospective manner. This study was conducted during the period from 6th june 2006 to 6th December 2007, (18 months period) in the Department of Obstetrics and Gynaecology, TDMC, Alappuzha. All patients with twin pregnancy admitted to TDMC Alappuzha with gestational age more than 24 weeks were included in the study. Results: The incidence of twin pregnancy was 1.5%. The incidence of monochromic twins was 38.7% and dichorionic twins was 61.3%. Preterm labour was the commonest complication in both monochorionic and dichorionic twins and the incidence was comparable. Maternal pyrexia, UTI, PPH and post partum depression were the common maternal morbidity encountered in both groups. Incidence of PPH was 10% in monochorionic twin pregnancies and 5% in dichorionic twin pregnancies. Maternal bed days for dichorionic twins higher than monochorionic twins.