Clinicoinvestigative Profile of Multiple Gestation Neonates and Outcomes at a Rural Tertiary Care Hospital (Code-T0246)

Background: Multiple gestations are associated with higher risks of preterm birth, low birth weight, and various neonatal complications. The outcomes of multiple gestation pregnancies are of significant concern, particularly in resource-limited settings like rural tertiary care hospitals, where specialized care may be less accessible. This study aims to investigate the clinicoinvestigative profile and neonatal outcomes in multiple gestation neonates.

Aim and Objective:

Aim: To study Clinicoinvestigative profile of Multiple gestation neonate and Outcome at Rural tertiarycare hospital.

Objectives:

1. To find out occurrence of multiple birth at our hospital.
2. To study clinical profile of these neonates.
3. To study the maternal and neonate risk factors.
4. To study immediate outcome of these neonates.

Methods: A retrospective, descriptive study was conducted on multiple gestation neonates born at Dr. [Hospital Name] over a 2-year period. The study collected data on maternal history, obstetric complications, neonatal birth details, investigations, and outcomes. Statistical analysis was performed using SPSS software to identify correlations between maternal and neonatal factors and outcomes.

Results: Out of 120 multiple gestation births, 55% were twins, and 45% were higher-order multiples. Preterm delivery occurred in 60% of cases, with 70% of neonates requiring NICU admission. The most common neonatal complications included respiratory distress syndrome (35%), low birth weight (50%), and jaundice (40%). Cesarean delivery was the most common mode of birth (75%). A significant number of neonates required oxygen therapy and mechanical ventilation, particularly in cases of preterm birth. The neonatal mortality rate was 8%, with most deaths occurring in preterm, low-birth-weight neonates.

Conclusion: Multiple gestation pregnancies are associated with higher neonatal morbidity and mortality, with preterm birth and low birth weight being the most significant risk factors. This highlights the need for better prenatal care and early intervention strategies in rural settings to improve neonatal outcomes.

Keywords: Multiple gestation, Neonatal outcomes, Preterm birth, Low birth weight, NICU, Rural tertiary care hospital.