Preethi Jennifer, C (2015) A comparative study of perinatal morbidity and mortality of presenting twin to its co-twin. Masters thesis, Madurai Medical College, Madurai.
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Abstract
AIM & OBJECTIVES: To compare the perinatal morbidity & mortality of presenting twin to its co-twin based on • Mode of delivery, • Gestational age at delivery, • Chorionicity, • Discordancy, • Birth weight. DESIGN OF STUDY: Prospective analytical study. PERIOD OF STUDY: 1 year. COLLABORATING DEPARTMENT: Department of Paediatrics. METHODOLOGY: The study is conducted on antenatal women with twin pregnancy admitted to labour ward for delivery. Patients are allotted based on inclusion and exclusion criteria. Patients are selected randomly and informed consent is obtained. CONCLUSION: Twin pregnancy is more common among women of age less than 30years in our study. There is male preponderance in both Twin I and Twin II. Multiparous women in our study are higher incident twin mothers. Study group entirely belongs to low socio-economic status. RDS is more common in Twin II,hence need for mechanical ventilation is more in Twin II compared to Twin I. SEPSIS is more common in Twin I with PROM contributing to the major cause of sepsis Thus the perinatal mortality is similar in both Twin I and Twin II but the cause is different and being SEPSIS and RDS respectively. The study helps to analyse the difference in the outcome of both the twins & to find out various factors which influence it, in the era of sonography, fetal monitors, judicious use of inducing agents, increased & prompt cesarean delivery. This will be helpful in counselling women with twin gestations in future.
| Item Type: | Thesis (Masters) |
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| Additional Information: | (Reg.No.201216102) |
| Uncontrolled Keywords: | Perinatal mortality ; chorionicity ; discordancy ; sepsis ; respiratory distress syndrome ; twins. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Devi S |
| Date Deposited: | 08 Oct 2018 05:55 |
| Last Modified: | 08 Oct 2018 05:55 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/9777 |
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