Research
A Retrospective Study: Twin Pregnancy at Tertiary Care Center, Maternal and Perinatal Outcome
Background: The objective of present study was to study the maternal and perinatal outcome in twin pregnancy in a tertiary care canter. Methods: Retrospective analytical review of all twin deliveries at J.K Lon hospital, Govt. medical college Kota, over a period of 1 year between January 2020 and December 2020.There were 60 twin deliveries. Maternal details, antenatal complications and fetal outcome were analysed. Results: The incidence of twin pregnancy was 1.4 % with maximum incidence in age group of 20 -29 years and in multigravida. Vertex - vertex fetal presentation was most common presentation. Most frequent mode of delivery was caesarean section (76.6%). Preterm labour was most common maternal complication (75%), followed by anaemia (60%). Complications in perinatal period were birth hypoxia (35%), intrauterine growth restriction (13.3%), hyperbilirubinaemia (10%) and neonatal sepsis (3.3 %). 85% of the new-borns were LBW. Perinatal mortality in our study was 15%.
Immediate Postpartum Insertion of Intrauterine Contraceptive Device after Vaginal Delivery: Its Safety, Efficacy and Expulsion
Background: India is the second most populated country in the world with 1.32 billion people. It contributes 17.5% of the world’s population by adding 25 million births annually. Family planning with adequate spacing between the pregnancies can prevent about 32% of maternal deaths and 10% of child mortality. Postpartum period is the ideal time for family planning. Pregnancies with less than the recommended spacing can lead to obstetric complications like spontaneous abortion, preterm labour, postpartum haemorrhage and maternal mortality and fetal complications like SGA babies and fetal deaths. Hence practice of contraception is mandatory. Among the options available, Cu T 380A is the most cost effective, safe, rapidly reversible, long acting, coital independent method of contraception with relatively few side effects. Aims and Objectives: To evaluate the safety, efficacy and expulsion rate of immediate postpartum intrauterine contraceptive devices (PPIUCD).
