Maternal outcome in multiple versus singleton pregnancies in Northern Tanzania: A registry-based case control study

Chiwanga, Enid; Massenga, Gileard; Mlay, Pendo; Obure, Joseph; Mahande, Michael Johnson

doi:10.1016/s2305-0500(14)60001-4

Cited by 16 publications

(17 citation statements)

References 35 publications

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“…7,19 Authors observed a 2.28-fold increased risk of hypertensive disorder in women with twin pregnancy. Current results were consistent with Akinboro A et al, Abasiattai AM, Olusanya Bo, Akaba GO et al, Chiwanga ES et al 6,8,12,18,20 Authors found that 15.3% women had hypertensive disorder which was lower than that reported by M Sultana et al, JY Foo et al, who found preeclampsia rate of 31% and 28% respectively. 17,21 In current study mother with twin gestation had a 1.36-fold increased risk of anaemia compared with singleton gestation.…”

Section: Discussionsupporting

confidence: 90%

“…Current results are in agreement with Chiwanga ES et al who reported 6-fold increase risk of preterm delivery in twins. 12 Garg P and Shebl ET O, Mazhar SB also reported similar risk of preterm. [13][14][15] Preterm rate in present study was 62.7% which was higher than that reported by Muthihir JT et al, Qazi G, Sultana M et al, and Akaba GO et al 11,[16][17][18] However, Rizwan N et al and in Hanumaiah et al showed higher rates of preterm delivery on their study (84% and 74% respectively).…”

Section: Discussionmentioning

confidence: 80%

“…16 Result of present study was in contrast with the result obtained by Akaba GO et al and Chiwanga ES and who reported lower rates of PROM. 12,18 Risk of a twin pregnancy being delivered prematurely was about 2 times that of a singleton (OR 2.0073; 95% CI: 1.0509-3.8342). Obiechina et al in their study observed the risk of a twin pregnancy being delivered prematurely was about 6.5 times that of a singleton (OR: 6.47, CI: 2.70-17.05).…”

Section: Discussionmentioning

confidence: 99%

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Comparative assessment of fetomaternal outcome in twin pregnancy with singleton pregnancy at tertiary care centre

Gupta

Mital

Meena

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONMultiple pregnancy remains one of the highest risk situations for the mother, foetus and neonate despite recent advances in obstetrics, perinatal and neonatal care. Twin pregnancies have increased rates of obstetric and perinatal complications compared to singletons such as risk of miscarriage, pre-eclampsia, post-partum haemorrhage, preterm labour, iron and folic acid deficiency anemia, polyhydramnios, discordant foetal growth, abnormal vascular communications, foetal malformations, cord complication, still births and increased rate of caesarean section.1 Although twins occur in approximate 1 in 80 pregnancy, they account for 12.2% of preterm births and 15.4% neonatal death. ABSTRACTBackground: Multiple pregnancy remains one of the highest risk situations for the mother, foetus and neonate despite recent advances in obstetrics, perinatal and neonatal care. Twin pregnancies have increased rates of obstetric and perinatal complications compared to singletons Objective of present study was comparative assessment of fetomaternal outcome in twin pregnancy with singleton pregnancy in Obstetrics and Gynaecology Department of S.M.S. Medical College, Jaipur. Methods: This was a hospital based, prospective observational study done in the Department of Obstetrics and Gynaecology. S.M.S. Medical College, Jaipur from April 2015 to March 2016. 150 women with twin pregnancy and 150 women with singleton pregnancies at gestation age of 28 weeks and above coming for delivery and consented for the study were included in the study. Women with chronic medical disorder or chronic hypertension were excluded from the study. Maternal and neonatal outcome recorded and analysed. Results: Occurrence of twin in our study was 2.82%. Risk of preterm labour was about nine times higher in twin pregnancies than the singleton (OR: 2.74, 95% CI; 1.4494-5.1884, P value 0.001). The risk of premature rupture of membrane was increased by 2.74 times in twin pregnancies (OR:2.74; 95% CI: 1.4494-5.1884, p value .001). There was 3-time increased risk of malpresentation (OR 3.14; p value .00002) and 2.28 times increase in hypertensive disorder (OR 2.28; 95% CI: 1.0727-4.8823, p value .03) in twin pregnancies. The risk of asphyxia and septicaemia was 2.5 times more in twins. Conclusions: Twin pregnancy is a high-risk pregnancy with more complications in mother and foetus and is a great challenge for obstetrician. So, it should be managed carefully at tertiary care centre to reduce the maternal and perinatal mortality and morbidity.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparative assessment of fetomaternal outcome in twin pregnancy with singleton pregnancy at tertiary care centre

Gupta

Mital

Meena

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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“…These results are in line with other findings. 7,9,[13][14][15] Major direct obstetric complications are known to lead to maternal mortality if not managed properly. As recommended by the WHO, the goal is that all women who have obstetric complications will receive EmONC, the minimum acceptable level is 100%.…”

Section: Discussionmentioning

confidence: 99%

Maternal and perinatal outcomes in multiple versus singleton pregnancies in Dakar, Senegal: a cross sectional study over 10 years

Ndiaye

Gueye

Diop

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: The birth of twins is a singular event in most societies, and even more when it comes to multiple births. The objective of this study was to investigate maternal and perinatal outcomes in multiple versus singleton pregnancies.Methods: Cross-sectional study carried out at Philippe Maguilen Senghor health center in Dakar, Senegal from January 1, 2011 to June 30, 2019. Data were extracted from this E-perinatal electronic database and then analyzed in statistical package for social science software (SPSS 24, Mac version).Results: A total 42,870 mothers delivered 44,149 newborns including 1250 twins (2.8%) and 29 triplets. The mean maternal age was 27 years. Mothers with multiple pregnancies had 3 times the odds of poor maternal outcome compared to mothers with single pregnancies (OR 2.42, 95% CI; 1.98-2.94, p <0.001, for high blood pressure; OR, 2.66; 95% CI, 2.11-3.32, p= <0.001, for severe pre-eclampsia; and OR, 3.04; 95% CI, 1.64-5.66, p <0.001, for postpartum hemorrhage). Likewise, women with multiple gestations had significantly higher rates of preterm birth (OR 5.62; 95% CI: 4.91-6.41, p <0.001), breech presentations (OR = 11.02; CI = 9.68-12.53, p <0.001) and neonatal deaths (OR = 2.94; CI = 9.6852-12.5328 p= 0.004) as compared to women with singleton gestations. Furthermore, women with multifetal gestations had increased risk for caesarean section (OR 2.14; 95% CI: 1.91-2.41, p <0.001) compared with their singleton counterparts. The risks for episiotomy and perineal injuries were higher for women with singleton gestations as compared to multiple gestation mothers.Conclusions: This study results are in line with previous findings and contradict others. Particular attention should always be paid to multiple pregnancies’ management. However, the pattern of certain complications traditionally correlated with multiple pregnancies is to be confirmed.

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“…Enid Simon Chiwanga et al; 7 reported that There were 822 (2.1%) multiples of 33997 births. Women with multiple gestations had increased risk for pre-eclampsia (OR 2.6; 95% CI: 1.7-3.9), preterm labour (OR 5.6; 95% CI: 4.2-7.4), antepartum haemorrhage (OR 1.6; 95% CI: 1.1-2.3), anaemia (OR 2.0; 95% CI: 1.6-2.6) and caesarean section (OR 1.5; 95% CI: 1.4-1.7) compared with singletons.…”

Section: Discussionmentioning

confidence: 99%

Study of Maternal and Foetal Outcome in Twin Pregnancy

Rani¹,

Lakshmi²

2018

jebmh

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Maternal outcome in multiple versus singleton pregnancies in Northern Tanzania: A registry-based case control study

Cited by 16 publications

References 35 publications

Comparative assessment of fetomaternal outcome in twin pregnancy with singleton pregnancy at tertiary care centre

Comparative assessment of fetomaternal outcome in twin pregnancy with singleton pregnancy at tertiary care centre

Maternal and perinatal outcomes in multiple versus singleton pregnancies in Dakar, Senegal: a cross sectional study over 10 years

Study of Maternal and Foetal Outcome in Twin Pregnancy

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