Abstract
Objective: To compare the proportion of Twin pregnancies in different areas of Pakistan, also compare the obstetric outcomes in twins
and singleton pregnancies
Study Design: Observational, Cross-Sectional Study
Place and Duration: This study was conducted at MCH Center, PIMS. Islamabad, from 1st March 2010 to 30th May, 2011.
Methodology: This is a part of WHO Multi-Country survey 2011. In this study we randomly selected 7 Health facility centers from
Punjab and Sindh (The big provinces of Pakistan) and 2 Health facility centers from Islamabad. Hospitals with minimum of 1,000
deliveries per year were selected to participate. All pregnant women, who met our inclusion criteria, were enrolled during the study
period. One sample t-test was used to predict the incidence of twin pregnancies in different region. Chi square test was used to test
the association between incidence of twin pregnancies and area.
Results: The proportion of twin pregnancies was significantly high in Islamabad as compared to other areas with p value 0.000. There
was significant association between twin pregnancies and severe maternal outcome with p value of 0.000. Highest maternal mortality
was observed in Punjab (0.4%). Significant association was seen between maternal mortality and geographical area with p value of
0.04.
Conclusion: Twin pregnancies are associated with more pregnancy complications and poorer neonatal outcome as compared to
singleton.
Tahmina Yousaf, Syeda Batool Mazhar. (2019) Risks and complications associated with twin pregnancies. Evidence from WHO multi country survey 2011., Isra Medical Journal, Volume 11, Issue 2.
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