Issue link: http://digitaleditions.uberflip.com/i/1388210
102 Maternity and Obstetrics Early Neonatal Death (1) EGA BW (gms) Gender Delivery method Apgars (1, 5, 10 mins) Age at death (days) Place of death Placental Histology Cause of death PM 23+3 520 F LSCS 5, 7 3 NICU DCDA Hypoxic respiratory failure, refractory hypotension, extreme prematurity, extremely low birth weight, DCDA twin. No Antepartum Stillbirth (4) EGA BW (gms) Gender Delivery method Placental Histology Cause of death PM 25+4 190 F SVD MCDA. Low grade FVM. TTTS. No 25+4 620 F SVD MCDA. Low grade FVM. TTTS. No 27+4 280 M SVD MCDA. No abnormal histology reported. TTTS. No 36+5 800 M LSCS MCDA. Low grade villitis. Twin 2 IUD at 20 wks. TTTS. No There were five perinatal deaths in four twin pregnancies. The perinatal mortality rate was 18.8 per 1000. Severe TTTS was present in three of the four cases. In three cases Laser Treatment for severe TTTS was required and an IUD occurred in one twin sometime after treatment in each case. One occurred at 19 wks, one at 22 wks and another at 24 wks estimated gestational age in each of the cases. Delivery was at 25 weeks' gestation in the case where both babies did not survive after the Laser Treatment. 5 Year Table: TWINS 2016 2017 2018 2019 2020 Number of Cases 184 188 150 125 134 Twin Babies 364 371 300 246 266 Incidence per '00 deliveries 2.1 2.2 1.9 1.6 1.9 Perinatal Deaths 6 9 8 7 5 Perinatal rate per '000 twin babies 16.5 24.3 26.7 28.5 18.8 Caesarean Section 119 123 119 80 100 Caesarean Section Rate 65% 65% 79% 64% 75% 2020 | NMH Annual Rep t