FREQUENCY OF COMMON MATERNAL COMPLICATIONS IN THIRD TRIMESTER OF TWIN PREGNANCY
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Abstract
Objective: To determine the frequency of common maternal complications inthird trimester of twin pregnancy.
Methodology: It was hospital based Cross-Sectional study, descriptivestudy conducted at the department of Obstetrics & Gynaecology, PostgraduateMedical Institute, Lady Reading Hospital Peshawar from October 2010to April 2011.Data was collected by non-probability convenience samplingtechnique.A total of 106 admitted patients with twin pregnancies (confirmedby ultrasonography) were enrolled in the study. Demographic data collectedand patients were followed up till delivery to determine complications of twinpregnancies.
Results: Mean age of the sample was 28.76+4.616 years. Mean period ofgestation at the presentation was 35 + 2.86. Most patients presented withgravida 2 and para 1. Of the 106 patients with twin pregnancy 21 (19.8 %)had no complications.60 patients (56.6 %) presented with anemia, 34 patients(32.1 %) had preterm labour and 21 (19.8 %) patients suffered from pregnancyinduced hypertension. The least common maternal complication was prematurerupture of membranes (PROM) which occurred in 12 patients making11.3 % of the study population.
Conclusion: Twin pregnancy carries high risk of maternal complications likeanemia, preterm labour and pregnancy induced hypertension and highlightsthe need for early recognition and interventions by experienced health professionals.
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