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OUTCOME OF PRE-TERM BIRTH OF NEONATES IN TWIN PREGNANCIES AND ASSOCIATED OBSTERIC PARAMETERS

Dr Noor ul Huda Zahid, Dr Navaira Zahid, Dr Saneea Shahzad

Objective: The aim of this research work is to record the outcome of pre-term deliveries in twin pregnancies to examine the association of perinatal and obstetric features with this outcome. Methodology: This was a retroactive research work which carried out on the data collected from one hundred pre-term twins’ child births in Department of gynecology of Allied Hospital Faisalabad. We collected the data from the clinical files of 60 females with pregnancy who gave pre-term birth of twin babies and we analyzed that data. We noted the description of feto-maternal outcome, obstetric features, data of sonography, indication for CS (Cesarean Section), weight of baby at the time of birth, scores on Apgar scale, circumference of the head, the length of the umbilical cord length and total weight of placenta of all the patients. Results: Mean age of the females with the pregnancy was 26.78 ± 4.38 years and period of pregnancy according to ultrasound was 31.90 ± 2.60 weeks. There was an influence on Apgar scores at first minute by the weight of the body of fetal, duration of pregnancy period and height and circumference of the head. No variable among them displayed any significant impact on Apgar scores at fifth minute. Conclusion: There is a need of efforts to obtain improvements of the gestational age till child birth in follow-up pre-term of twins. A well-organized algorithm with distinct prominence is in need to standard the suitable strategy for its management.

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