Multiple Pregnancy; frequency of maternal and fetal complications

ABSTRACT

To determine the frequency of maternal and fetal complecation in multiple pregnancy. Observational study. In the department of obstetric and gynecology unit I Allied Hospital Faisalabad. One year from 22-07-2003 to 22-07-2004. Fifty patient included in the study. These patient's were examined throughly and relevant information recorded in a performa giving detailed history, clinical examination, investigations and type of management. Anemia was the most common prenatal complication followed by preterm labour, PIH and preeclampsia PROM in 8 patients, IUGR in one patient. The most common intrapartum complication was postpartum hemorrhage followed by retained placenta cord prolapse and shoulder presentation. About 12 babies required admission and perinatal deaths occurred in 9 twins. Multiple pregnancy are at high risk of antipartum and intrapartum complications. The study also proved that multiple pregnancy associated with increased risk of anemia preterm labour, PIH preeclampsia, IUGR and postpartum hemorrhage and also associated with increased perinatal mortality and morbidity