title: Outcome of twin pregnancy in booked versus unbooked cases.
abstract: OBJECTIVE
  To assess the outcome of twin pregnancy in booked versus unbooked cases.
  
  
  METHODS
  Comparative study.
  
  
  METHODS
  This study was conducted in Khyber Teaching Hospital, Gynae A unit, Peshawar, over a period of two years from 1st January 1996 to 31st December 1997.
  
  
  METHODS
  A total of 96 patients with twin pregnancy were included. The inclusion criteria were all those patients who had completed twenty-eight weeks of pregnancy with twin gestation. Evaluation was done by a detailed history and data was collected. Antenatal, intrapartum and postnatal complications as well as perinatal mortality and morbidity was noted in the two groups.
  
  
  RESULTS
  Out of 96 cases, 65 patients were unbooked and 31 patients were booked cases. Majority of the unbooked cases came from rural areas and belonged to age group of 18 to 38 years. The rate of instrumental deliveries was high in unbooked cases (18.46%) as compared to booked cases (9.67%). Obstructed labour (9.23%), abruptio placenta (6.15%) and postpartum haemorrhage (21.35%) were common in unbooked cases. Caesarean section was performed in 25 unbooked cases as compared to 4 booked cases. Similarly, the perinatal mortality was high in unbooked cases with 26.93% of cases requiring admission in nursery and 15.3% were stillborn.
  
  
  CONCLUSIONS
  Twin pregnancy is a high risk pregnancy. Diagnosis before delivery is important. The patient should be provided with sufficient information regarding advantages of regular antenatal visits.
authors.affiliation: Department of Obstetrics and Gynaecology, POF Hospital, Wah Cantt. snasir_naqvi@yahoo.com
authors.forename: Mehreen Mehdi
authors.initials: MM
authors.lastname: Naqvi
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D010154:Pakistan / Q000453:epidemiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011295:Prenatal Care / Q000706:statistics & numerical data*; D014427:Twins / Q000706:statistics & numerical data*