Abstract

Background: The second twin is generally considered at higher risk of severe morbidity and mortality because of obstetric complications that may occur after delivery of the first twin. Methods: The hospital based descriptive type of observational study was conducted in the Department of Obstetrics and Gynaecology, Jhalawar Medical College, Jhalawar. Results: In 54.00% neonate APGAR score was 5-7 followed by 42.00% neonate APGAR score was >7 and 4.00% neonate APGAR score was less than 5. 84.00% delivery were ND followed by 14.00% delivery was AVBD and 2.00% delivery was IPV-BE. Conclusion: Second twin had low Apgar score and chance of neonatal admission was more. Keywords: NICU, APGAR score, Neonates.

Highlights

  • A multiple birth is a birth of two or more babies in one parturition

  • Background: The second twin is generally considered at higher risk of severe morbidity and mortality because of obstetric complications that may occur after delivery of the first twin

  • The hospital based descriptive type of observational study was conducted in the Department of Obstetrics and Gynaecology, Jhalawar Medical College, Jhalawar

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Summary

Introduction

A multiple birth is a birth of two or more babies in one parturition. Simultaneous development of two fetus (twin) is the commonest, with newer infertility treatment protocols, development of 3-8 fetus have been reported. 1 Twin pregnancies have been found to vary in different parts of the world. The highest incidence is in Nigeria (49/1000) and the lowest in China and Japan (2/1000) while Europe and USA have the intermediate incidence (5.9-8.9/1000).The incidence of twin pregnancy has been on the rising trend, 65% since 1980.2. The second twin is generally considered at higher risk of severe morbidity and mortality because of obstetric complications that may occur after delivery of the first twin. Cord prolapse, uterine atony, long interval delivery and cervical spasm.[3]

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