Frequency of perinatal mortality in women with twin gestation

Aim: to determine the frequency of booked and un-booked twin pregnancies and perinatal mortality among them. study design: it was a descriptive cross sectional study. duration: six months from march 2012 to september 2012. settings: department of obstetrics & gynaecology,bahawal victoria hospital,bahawalpur. methods: a total of 100 cases with twin gestation in reproductive age group with any parity and gestational age after 28 weeks were enrolled in the study while patients with fetal anomalies,known cases of: diabetes mellitus,hypertension,respiratory,cardiac,liver,gastrointestinal,neoplastic and who deliver first twin outside hospital and then present in hospital with retained second twin were excluded from the study. results: in this study,45(45%) were between 18-30 years,40(40%) were between 31-40 years and 15(15%) were between 41-45 years,mean+sd was calculated as 28.45+5.26 years,frequency of booked and unbooked cases in twin pregnancies were recorded as 31(31%) and 69(69%) respectively,regarding perinatal mortality,out of 31 booked cases,2(6.45%) while out of 69 unbooked cases,17(24.64%) were recorded with mortality while remaining cases in both groups had findings of perinatal mortality. conclusion: we concluded that the frequency of perinatal mortality is significantly higher among unbooked twin pregnancies than booked twin pregnancies.