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STUDY OF MATERNAL COMPLICATIONS IN WOMAN WITH TWIN PREGNANCY AT TERTIARY CARE HOSPITAL

Dr. Amna Anum, Dr. Bilqees Akhtar Malik, Dr. Shahida Aslam

Objective: To assess the maternal complications in woman with twin pregnancy at tertiary care hospital Methods: This cross sectional study was conducted at Department of Obstetrics & Gynecology Bahawal Victoria Hospital, Bahawalpur from July 2018 to December 2018 over the period of 6 months. Total 432 cases of twin pregnancy having gestational age >20 weeks were selected. Complications of twin pregnancy were assessed. Results: During study period, there were 432 twin pregnancies out of total 13539 pregnancies. Most of the cases were belonged to age group 21-30 years. Primigravida were 45.7% out of total twin pregnancies. Preterm deliveries was seen in 304 (70%), followed by anemia 259(60%) cases, preterm rupture of membranes in 120 (39.4%) cases, pregnancy induced hypertension in 122(28.3%) cases, cholestasis of pregnancy in 24(5.5%) cases, total 20(4.6%) found with antepartum hemorrhage, gestational diabetes mellitus in 08(1.8%) cases. Total 44 (10.2%) cases were found with PPH and mortality rate was 02(0.46%). Conclusions: In present preterm labor, GDM, PIH and anemia were the most common complications. Most of the cases found with mild to moderate anemia. In most the cases C-section was performed. PPH was noted in most the cases. Keywords: Twin pregnancy, preterm, GDM, PIH