E-ISSN 2534-9821
 

Original Research 


Incidence, risk factors, and outcomes of multifetal gestation: A prospective, single center study from Central India

Shubha Srivastava , Swati Gupta , Neha Baraithya.

Abstract
Introduction: Multifetal pregnancies (MFPs) are high risk pregnancies and are associated with higher complications and adverse outcomes. Aims and Objectives: To assess the incidence, risk factors, comorbidities, and outcomes of MFPs. Materials and Method: This prospective, observational study was performed over a period of 12 months (December 2018 to November 2019) and involved 212 women with MFP admitted in antenatal ward and labor room of a tertiary care center located in Central India. Maternal characteristics including age, parity, gestational age, mode of delivery, and maternal comorbidities and complications were recorded. Finally, neonatal morbidity and mortality was studied. Results: The incidence of MFP was 1.25%, with that of twin and triplet pregnancy being 1.22% and 0.03%, respectively. Majority of the women belonged to the age group of 25-30 years (43.3%), were multigravida (53.3%), and had a gestational age of 34-36 weeks (41.03%). Women most commonly underwent vaginal delivery (58.01%). The predominantly comorbidity and complications were hypertensive disorders (36.8) and preterm labor (58.49%), respectively. Majority of the neonates had low birth weight (LBW, 80.3%). There was no significant difference between the first and second twin in terms of LBW (P-value >0.05). Perinatal mortality was statistically associated with both prematurity and LBW (both P-values <0.0001). Conclusion: Overall, MFP was associated with high maternal and perinatal morbidity and mortality. Increased parity, low SES, rural area of residence, and advancing maternal age were the major determinants of MFPs. Perinatal mortality was significantly associated with LBW and prematurity.

Key words: Multifetal gestation, Twin Pregnancy, Neonatal mortality, Fetal Outcome, Maternal Outcome


 
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How to Cite this Article
Pubmed Style

SS, SG, Baraithya N, . Incidence, risk factors, and outcomes of multifetal gestation: A prospective, single center study from Central India. Int J Med Rev Case Rep. Online First: 30 Jul, 2023. doi:10.5455/IJMRCR.172-1660483279


Web Style

SS, SG, Baraithya N, . Incidence, risk factors, and outcomes of multifetal gestation: A prospective, single center study from Central India. https://www.mdpub.net/?mno=104581 [Access: December 16, 2023]. doi:10.5455/IJMRCR.172-1660483279


AMA (American Medical Association) Style

SS, SG, Baraithya N, . Incidence, risk factors, and outcomes of multifetal gestation: A prospective, single center study from Central India. Int J Med Rev Case Rep. Online First: 30 Jul, 2023. doi:10.5455/IJMRCR.172-1660483279



Vancouver/ICMJE Style

SS, SG, Baraithya N, . Incidence, risk factors, and outcomes of multifetal gestation: A prospective, single center study from Central India. Int J Med Rev Case Rep, [cited December 16, 2023]; Online First: 30 Jul, 2023. doi:10.5455/IJMRCR.172-1660483279



Harvard Style

, S. S., , S. G., Baraithya, N. & (2023) Incidence, risk factors, and outcomes of multifetal gestation: A prospective, single center study from Central India. Int J Med Rev Case Rep, Online First: 30 Jul, 2023. doi:10.5455/IJMRCR.172-1660483279



Turabian Style

, Shubha Srivastava, Swati Gupta, Neha Baraithya, and . 2023. Incidence, risk factors, and outcomes of multifetal gestation: A prospective, single center study from Central India. International Journal of Medical Reviews and Case Reports, Online First: 30 Jul, 2023. doi:10.5455/IJMRCR.172-1660483279



Chicago Style

, Shubha Srivastava, Swati Gupta, Neha Baraithya, and . "Incidence, risk factors, and outcomes of multifetal gestation: A prospective, single center study from Central India." International Journal of Medical Reviews and Case Reports Online First: 30 Jul, 2023. doi:10.5455/IJMRCR.172-1660483279



MLA (The Modern Language Association) Style

, Shubha Srivastava, Swati Gupta, Neha Baraithya, and . "Incidence, risk factors, and outcomes of multifetal gestation: A prospective, single center study from Central India." International Journal of Medical Reviews and Case Reports Online First: 30 Jul, 2023. Web. 16 Dec 2023 doi:10.5455/IJMRCR.172-1660483279



APA (American Psychological Association) Style

, S. S., , S. G., Baraithya, N. & (2023) Incidence, risk factors, and outcomes of multifetal gestation: A prospective, single center study from Central India. International Journal of Medical Reviews and Case Reports, Online First: 30 Jul, 2023. doi:10.5455/IJMRCR.172-1660483279