Abstract: To assess the influence of chorionicity in twin pregnancy on maternal and fetal outcome and to foreground the importance of early antenatal registration and first trimester ultrasonography. And so forth plan the management of twin pregnancy depending on the chorionicity.
MATERIAL & METHODS: This study is a hospital based prospective study including 200 twin pregnancies registered in 1st trimester after applying exclusion criteria women were followed till term. Perinatal outcome obtained in terms of birth weight, Apgar score, NICU admissions, weight discordance, still birth. Statistical analysis done using chi square test, t test and p <0.05 considered as statistically significant.
RESULTS: Among 200 twin pregnancy included in the study, 57(28.50%) were monochorionic and 143(71.50%) were dichorionic. Mean gestational age at delivery was 33.07 wks in monochorionic lower than dichorionic (p<0.001).Mean birth weight weight in dichorionic was 2.14 kg higher than monochorionic (p<0.001)). Similarly, lower mean apgar (5.27 vs 6.55) and higher nicu admissions (19% vs 12.25%) among the monochorionic twins compared to dichorionic twins. Weight discordance between 1st and 2nd twin was observed more in monochorionic twins (26.32% vs 16.78% p= 0.125). Perinatal mortality in monochorionic was much higher than dichorionic twins (29.04% vs 4.2%). No significant difference was found in maternal complications.
CONCLUSION: Early diagnosis of chorionicity ,regular antenatal checkups and timely intervention during the intrapartum period by trained obstetrians helps improving the fetal outcomes especially in monochorionic pregnancies.
Keywords: chorionicity, monochorionic pregnancies, dichorionic.
Title: A Prospective Study Showing Relationship between Early Detection of Twin Chorionicity and Pregnancy Outcomes
Author: Marawi D, Rajoria L, Vyas J, Bansal A, Bagotia P, Barar S, Meena B S
International Journal of Interdisciplinary Research and Innovations
ISSN 2348-1218 (print), ISSN 2348-1226 (online)
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