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Abstract

Introduction: Twin childbirth is a high-risk childbirth especially for the 2 nd Twin, whose perinatal mortality was increased by (102.8%₀). The aim of this study was to describe the outcome of twin pregnancies in an African setting at the maternity ward of the Ignace Deen National Hospital.Methodology: This was a prospective study of a descriptive and analytical type lasting twelve (12) months from January 1 to December 31, 2020 carried out at the obstetric gynecology department of the Ignace Deen National Hospital. Results:The frequency of twin pregnancies (GG) was 4.62% of deliveries. Pregnant women aged 25 to 29 were in the majority (81.74%). The socio-demographic profile of the woman who gave birth to twins was that of a housewife (32.8%), unschooled (42.4%), married (96%) and pauciparous (35.6%). The delivery was at term in 51.38% of cases and the anatomical type most frequently encountered was dizygous (90.51%) and premature in 48.62%. The early neonatal prognosis was good in 59.09% of cases for D1 and 66.4% for D2. We noted respiratory distress in 24.51% of cases for D1 and 37.55% for D2 and perinatal mortality of 79.1%₀ for D1 and 102.8%₀for J2. The factors of the poor neonatal prognosis were prematurity, low birth weight and vaginal delivery for the 2nd twin. The immediate maternal prognosis was good in 227 patients and marked by postpartum hemorrhage in 26 patients, including three (3) maternal deaths. Conclusion:The improvement of the neonatal prognosis in the event of twin pregnancy would require an early ultrasound between 12 -15 weeks old, systematic corticosteroid therapy in the event of a threat of premature birth (PAD) before 34 weeks old and the performance of an ultrasound in the ward.