European Journal of Cardiovascular Medicine

Background and objective:  Incidence of twin pregnancy has grown from the past 20 years due to early detection by USG and increased use of ovulation inducing drugs and ART. There is significant risk of maternal and perinatal morbidity due to associated complications like re-eclampsia, anemia, premature delivery, malpresentations, PPROM in twin gestation. Active and timely intervention and strict vigilance helps in improving the maternal and perinatal outcome.  Methods: A prospective study was carried out from March 2021-December 2022 in the Obstetrics and Gynaecology Department at Siddhartha Medical College, Vijayawada, Andhra Pradesh, India. The study was approved by Institute Ethics Committee. 90 antenatal women with twin pregnancy more than 28 weeks attending antenatalop, labour ward were included. Results: Maternal complications most common is pre-eclampsia in 35.5% cases, anemia is seen in 30% cases, antepartum eclampsia seen in 3% cases, premature delivery in 70% cases, malpresentations in 53.6%, pph in 30%, postpartum eclampsia in 8.8%cases. Low birth weight is 62.2%, perinatal mortality rate is 6.32% and neonatal mortality rate is 4.87.Most common cause of neonatal death is prematurity with RDS. Conclusion: Early identification of twin gestation Chorionicity, is important to identify the twins at risk for complications. Good antenatal care, early detection of complications, timely intervention, and prevention of pre term labour, strict intrapartum care and good neonatal intensive care services reduces the maternal and prenatal morbidity and mortality to a significant extent.