Multifetal gestations are one among the high risk pregnancies. The twinning rate increased 76% to 33.2 per 1000, in 2009. In 2015 over all multifetal birth rate was 34.5 per 1000 live births. It is important to understand the complications associated with multifetal pregnancies, manage them in an effective manner in order to improve the outcome of multifetal gestations. Study subjects were all women who were admitted at department of Obstetrics and Gynecology. Maternal data was collected from the case sheets of pregnant who were admitted in the labour wards and neonatal data were collected form case sheets of the babies.

Results: In our study total deliveries were 5957 of which the total number of mutifetal pregnancies were 193.There were 180 twins and 13 triplets[6.73%]. Total number of newborns were 399. There was a history of invitro conceptions and ovulation inductions in 18 cases. In our study we found out that preterm delivery is the most common complication accounting for 26.94% of the total cases, followed by PPROM [14.5%], Anaemia [12.4%], Hypertensive disorders [9.8%] and GDM [7.7%]. No maternal mortality was reported during the present study. Major neonatal complications in the multifetal pregnancies is charted in Table 3.Prematurity is the most common complication noted [14.78%] out of the 361 live births. This is followed by neonatal hyper bilirubinemia [11.52%], Respiratory distress syndrome [2.25%], hypoglycemia [1.75%] and 3 cases of sepsis [.075%].

Conclusion: Multifoetal pregnancy is an high risk pregnancy which is associated with adverse effects on maternal   and neonatal outcomes. There is an increased incidence of multifoetal pregnancies in recent times when compared to last century.

Keywords: Multifoetal Pregnancies, Preterm Labour.

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Dr Omana .E.K

Associate Professor, Department of Obstetrics and Gynaecology, Pariyaram Medical College

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