International Journal of Tropical Medicine
ISSN: Online 1818-779XISSN: Print 1816-3319
Abstract
Twin pregnancies inherently carry higher risks and complexities compared to singleton pregnancies, necessitating specialized management strategies to ensure optimal maternal and neonatal outcomes. This study aims to evaluate the effectiveness of various management strategies in reducing complications and optimizing outcomes in twin pregnancies. A retrospective cohort study was conducted involving 120 twin pregnancies at a tertiary care center. Management strategies analyzed included routine bi‐weekly ultrasound, serial fetal monitoring, scheduled cesarean delivery at 37 weeks and prophylactic cerclage. Data on obstetric complications, neonatal outcomes and the impact of prenatal nutritional and psychological support were collected and analyzed using odds ratios, confidence intervals and p‐values to assess the effectiveness of the management strategies. The study found that serial fetal monitoring and scheduled cesarean delivery at 37 weeks significantly improved pregnancy outcomes, with odds ratios indicating decreased risks of obstetric and neonatal complications. Routine bi‐weekly ultrasound and prophylactic cerclage also showed potential benefits, though some results did not reach statistical significance. Nutritional and psychological support were strongly associated with improved maternal health and satisfaction. The management of twin pregnancies using targeted strategies such as serial fetal monitoring and scheduled delivery can significantly enhance maternal and neonatal outcomes. The incorporation of comprehensive nutritional and psychological support further contributes to the overall effectiveness of twin pregnancy management. Future studies should focus on multi‐center, prospective analyses to confirm these findings and refine management protocols.
How to cite this article:
Rahul Chandrakant Kumbhar and Anita Nitin Patil. Twin Pregnancy Management: Balancing Risks and Rewards for Mother and Babies.
DOI: https://doi.org/10.36478/10.36478/makijtm.2024.4.124.128
URL: https://www.makhillpublications.co/view-article/1816-3319/10.36478/makijtm.2024.4.124.128