TY - JOUR AU - Roshni Radhakrishnan AU - Ratish Radhakrishnan PY - 2019/06/24 Y2 - 2024/03/29 TI - The Perinatal Outcome of First and Second Twin JF - Kerala Medical Journal JA - KMJ VL - 12 IS - 2 SE - Original Research DO - 10.52314/kmj.2019.v12i2.558 UR - https://www.keralamedicaljournal.com/index.php/KMJ/article/view/558 AB - Background: Despite advances in obstetrics and gynaecology, the perinatal mortality among twins still remains high. This study compares the perinatal outcome of first and second twin. Materials & Methods: A prospective study was conducted at Institute of maternal and Child Health, Calicut over a period of one year; 2005 to 2006. 200 (antenatal women with) twin pregnancies were followed up from antenatal period, upon their admission to ward and labour room. Results: 45% had preterm deliveries, 48% had vertex-vertex as the commonest presentation. 37.5% of 2nd twin required caesarian section compared to 35.5% of 1st twin. The mean birth weight of first twin was 2.09 kg and 2nd twin was 2.03 kg. NICU admission was required in 28.5% of 2nd twin compared to 23% of 1st twin. Perinatal mortality of 2nd twin was 130/1000 births compared to 90/1000 for 1st twin. Conclusion: Perinatal outcome in terms of macerated births, neonatal deaths and NICU admissions were more in second twin. ER -