FREQUENCY OF COMMON MATERNAL COMPLICATIONS IN
THIRD TRIMESTER OF TWIN PREGNANCY
Naila Nasr Malik
ABSTRACT
Objective: To determine the frequency of common maternal complications in
third trimester of twin pregnancy.
Methodology: It was hospital based Cross-Sectional study, descriptive
study conducted at the department of Obstetrics & Gynaecology, Postgraduate
Medical Institute, Lady Reading Hospital Peshawar from October 2010
to April 2011.Data was collected by non-probability convenience sampling
technique.A total of 106 admitted patients with twin pregnancies (confirmed
by ultrasonography) were enrolled in the study. Demographic data collected
and patients were followed up till delivery to determine complications of twin
pregnancies.
Results: Mean age of the sample was 28.76+4.616 years. Mean period of
gestation at the presentation was 35 + 2.86. Most patients presented with
gravida 2 and para 1. Of the 106 patients with twin pregnancy 21 (19.8 %)
had no complications.60 patients (56.6 %) presented with anemia, 34 patients
(32.1 %) had preterm labour and 21 (19.8 %) patients suffered from pregnancy
induced hypertension. The least common maternal complication was premature
rupture of membranes (PROM) which occurred in 12 patients making
11.3 % of the study population.
Conclusion: Twin pregnancy carries high risk of maternal complications like
anemia, preterm labour and pregnancy induced hypertension and highlights
the need for early recognition and interventions by experienced health professionals.
Key Words: Twin pregnancy, Preterm labour, Premature rupture of membranes(PROM),Pregnancy
induced hypertension( PIH).