An Analysis of Outcomes in twin Pregnancies With Active Fetal Surveillance and Intervention: A Four Year Survey

IntroductionThe present study aims to highlight the prospects of improving fetal and perinatal outcomes in twin pregnancies with active fetal surveillance and effective fetal therapeutic interventions.Study Design88 twin pregnancies booked for care at this centre were included in this study. The maternal demographic variables, course of pregnancy, fetal problems and specialised fetal therapeutic and diagnostic interventions were noted. The above parameters were also compared in dichorionic and monochorionic twin pregnancies and related to the perinatal outcome. Statistical analysis was done using the student's t test and two-tailed chi sqaure tests with Yate's continuity correction. A p value <0.05 was considered as significant.ResultsMean maternal age was 30.34 ± 4.81 years (Range 19–48). 81% of the twins were DCDA and 19% were MCDA. The mean gestaional age at delivery was 34.4±3.5 weeks and this was not significantly different in MCDA and DCDA groups. Serious fetal problems warranting intervention at thetime of initial referral were significantly higher in MCDA twins although overall perinatal outcome in both groups were not different.ConclusionActive fetal surveillanve and therapeutic intervention improves the perinatal outcome to over 90% of at least one take home baby rate but with an increase in late prematurity.