To assess the importance of accurate and early diagnosis of twins and its effect on the management

Abstract

Method: The present study of twins was done among the patients admitted in the department of Obstetrics and Gynecology at Index Medical College Hospital & Research Centre, Indore. Result: Maximum incidence was found to be in Nullipara i.e. 33.72% (21 cases). Next common was para I (Gravida II) 27.9% (19 cases). Grandmultipara constituted only 1.16% of cases. Out of 86 patients, 72 patients (83.72%) were diagnosed as twins before delivery of the first baby and in 16.27% (14 patients) diagnosis of twin pregnancy was missed before delivery. Total 14 patients were diagnosed after delivery of first baby (3 patients admitted with 1 baby already delivered outside Hospital and in remaining 11 both babies delivered in Hospital) out of which in 01 patient it was a per-operative finding during LSCS. The indications for LSCS in this case was obstructed labour. Conclusion: Our study revealed the importance of early diagnosis of twins because the subsequent admission of selected cases and delivery by optimal route resulted in lower perinatal mortality (9.6%) compared to perinatal mortality in those cases in which diagnosis was made at the time of delivery (37.5%).