Study of Perinatal Outcomes in Multifetal Gestation on the Basis of Chorionicity.

Introduction: Multiple pregnancy is simultaneous development of more than one fetus in uterus. Multifetal gestations are found to be associated with significantly higher maternal morbidity and health care service costs. Women multifetal gestation nearly six times likely hospitalized complications, including preterm labor, preeclampsia, premature rupture membrane, placental abruption, hydramnios postpartum haemorrhage. The term includes twins, triplets high order multiples.
 Objectives: To evaluate neonatal complications outcomes on the basis chorionicity.
 Materials Methods: This was a hospital based cross-sectional study conducted at tertiary for period year from August 2020 September 2021. A total 58 twin pregnancies 2 triplet meeting inclusion criteria were enrolled after taking consent.
 Results: most common complication among delivery (41.37%). Other membrane (32.75%), primary haemorrhage (24.13%), anemia (8.62%), Pregnancy induced hypertension Preeclampsia Placental Abruption (5.10%). Most low birth weight (63.79%). Among two-triplet both Trichorionic Triamniotic via lower segment caesarean section 32 weeks. Both these had IUGR babies.
 Conclusion: high-risk adverse fetal outcomes. Early diagnosis chorionicity proper follow up throughout improves perinatal outcome.