Study of twin pregnancy with one foetal demise.

Dr Krishna Jagatia; Dr.Mitali Rathod; Dr.Satish Kadikar; Dr Raxita Patel

Volume : VII, Issue : XI, November - 2018

Study of twin pregnancy with one foetal demise.

Dr Krishna Jagatia, Dr. Mitali Rathod, Dr. Satish Kadikar, Dr Raxita Patel

Abstract :

Aim: To study the incidence and feto-maternal outcome in twin pregnancy with one IUD fetus.

Material & Methods: Over a study period of three years 52,450 deliveries were conducted. OUT of these there were 858 twin deliveries and out of these 50 cases with one foetal demise we‘re diagnosed and managed with intensive foetal maternal monitoring. All patient were followed until onset of labour, mode of delivery decided and neonatal outcome was studied.

Results: Out of 52,450 deliveries, 858(1.8%) twins delivered. Out of them 50(5%) twins diagnosed with one IUD. In second and third trimester, they were managed with regular coagulation profile along with fetal monitoring. Out of them 20(40%) diagnosed with Anaemia, 14(20%) with preeclampsia,5(8%) with antepartum haemorrhage,3(6%) with altered DIC profile,1(2%) with PPH. Out of 11 neonatal death, 7 were having low birth weight (<1.5kg), One baby had meningocele and one expired due to neonatal sepsis. No perinatal mortality was there when birth weight was more than 2.5kg.

Conclusion: Demise of one twin does not have much effect on the surviving twin and the maternal coagulation profile and foetal salvage possible with intensive monitoring.