Twin pregnancies in the Niger Delta of Nigeria: a four-year review

Isa, Ibrahim; Oyeyemi, Abisoye; Obilahi, Abhulimen

doi:10.2147/ijwh.s31350

Cited by 13 publications

(15 citation statements)

References 13 publications

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“…The twin mothers were older at a mean age of 30.2±4.6 and the most frequent age group was 30-34 years accounting for two fifths of twin mothers. This is consistent with reports from similar studies [20][21][22]. This seems to agree to the documented evidence associating increased maternal age with twinning.…”

Section: Discussionsupporting

confidence: 93%

A Review of Twinning in Niger Delta Region, Nigeria

Maduabuchukwu¹,

Howell²

2018

CMR

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Background: Twin pregnancy is as fascinating as it is high risk and its epidemiology is globally more dynamic in the recent times. It is associated with increase maternal morbidities, fetal wastage and neonatal morbidities and mortality. Objectives: To determine the current incidence, assess the trend and investigate maternal and perinatal outcomes and influencing factors of twinning. Methods: For this case control study, data was collected on twin pregnancies; the study group and singleton pregnancies; the control group between January 2009 and December 2016 at a missionary Hospital in southsouth Nigeria. EPI INFO and INSTAT statistical software were used for analyses and Fisher's exact test for tests of statistical associations setting the statistical significance at <.05. Results: Among 8769 deliveries were 207 pairs of twins, a twinning incidence of 2.4% or 1 in 42 with an upward trend in incidence. Twin mothers were relatively older with those aged 30-34 years (41.2%) as the modal age group, less literate and less likely to have prenatal care. They were more prone to anemia, caesarean birth, Postpartum hemorrhage, gestational hypertension and blood transfusion (P<0.05). Mean gestational age and birth weight of twins were 35.5±3.8 weeks and 2352.9±746.4gm respectively. The twins were associated with increased preterm births (OR 28.1, P<0.001), Low birth weight (OR 15.6-24.1, P<0.001), perinatal death (OR 3.6, P<0.001), birth asphyxia (OR 2.9-5.9, P<0.01) and Special Care Baby Unit admission (OR 9.8-12.5, P<0.001). About 7 (66.2%) and 3 (31.4%) of every 10 first twins were in cephalic and breech presentation respectively with cephalic/cephalic (44.0%) the leading paired presentations. Conclusion: There was high and increasing incidence of twinning in this population. Twin pregnancy is associated with increased maternal morbidity and perinatal morbidity and mortality. To improve twinning outcome will require quality obstetric and perinatal care.

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Section: Discussionsupporting

confidence: 93%

A Review of Twinning in Niger Delta Region, Nigeria

Maduabuchukwu¹,

Howell²

2018

CMR

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“…(8,10) Preterm delivery was the commonest obstetric complication observed in the study as was the case in other studies carried out (11) it is the most important factor contributing to the increasing perinatal mortality and morbidity in multiple pregnancies. (2) In our study normal delivery occurred in 44% and forceps 2% and lscs was done in 54% of the cases.…”

Section: Discussionmentioning

confidence: 71%

Twin Gestation : A Challenging Task

Choudhary¹,

Sudhir²,

Kaul³

et al. 2015

jemds

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INTRODUCTION In the era of modern obstetrics when multiple pregnancies are on increase it is very important to know the incidence and obstetric outcomes of twin deliveries. Twin pregnancy is still associated with increased maternal and perinatal morbidity and mortality as well as healthcare costs. (1,2,3) MATERIALS AND METHODS: This is a retrospective study of twin deliveries done in the rural medical college teaching hospital over a period of 3 years. RESULTS: During the study period, incidence of twin delivery was 19.37 per 1000 deliveries. Majority cases of twins were young primies in age group (20-30 years). Preterm delivery occurred in 68% cases and was therefore, the most common morbidity followed by anaemia (38%) and PIH (28%). Most common presentation was vertex (66%) and malpresentation were present in 44% of cases. 54% were delivered by caesarean section. In 88% second baby delivered within 15 minutes. Uterine inertia, PROM, fetal distress, PPH, cord prolapse and abruption were complications during labour. There was no maternal mortality in present study. Average weight of first baby was 1679.63 gms and 2 nd baby was 1586.94 gms. Perinatal mortality of 1 st baby was 27.55 for 1 st baby and 37.25% for 2 nd baby. Average gestational age for patients in whom cervical encirclage was done was 34 weeks. CONCLUSION: Preterm delivery and low birth weight babies are main challenges to the obstetrician. Incidence of LSCS is quite high with malpresentation of leading (twin A) baby is a major indication for LSCS. The use of antenatal care services and good intrapartum management will help improve outcome in twin pregnancies.

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“…7,8 Preterm delivery was the commonest obstetric complication observed in the study as was the case in other studies carried out it is the most important factor contributing to the increasing perinatal mortality and morbidity in multiple pregnancies. 2,9 Cephalic presentation of both the babies occurred in 36% of the cases while vertex -breech presentation was seen in 25%.…”

Section: Discussionmentioning

confidence: 99%

Study of obstetric and fetal outcome of twin pregnancy in a tertiary care centre

Nandmer¹,

Kanhere²

2015

Int J Reprod Contracept Obstet Gynecol

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Background:The past two decades have witnessed a sharp rise in the incidence of twin and higher order gestations. The progress and developments in assisted reproductive technology, availability and widespread use of ovulation inducing drugs and delayed childbearing are thought to be the causes responsible for the rise. Twin pregnancy is associated with increased maternal and perinatal morbidity and mortality as well as healthcare costs. Maternal complications like hypertensive disorders, anemia, gestational diabetes mellitus (GDM), preterm labour, preterm premature rupture of membranes (PPROM) and placental abruption increases. It is also responsible for repeated antenatal admissions, longer hospital stay, blood transfusions and increase in operative vaginal or cesarean delivery, post-partum hemorrhage and Hysterectomy. Twins have an increased risk of intraventricular hemorrhage, sepsis, necrotizing enterocolitis, respiratory distress syndrome and neonatal death. The objective of the study was to study the maternal and fetal outcome of twin pregnancy. Methods: Retrospective analytical review of all twin deliveries at the teaching hospital medical college of Central India, over a period of 3 years between January 2010 and December 2012.There were 55 twin deliveries, data analysis regarding maternal age, parity, presentation, gestational age at delivery, obstetric complication mode of delivery, birth weights, and perinatal morbidity & mortality was analyzed. Results: Majority of patients 44 (80%) were in age group of 20-30 years. 55% patients were booked and 62% were from urban area. 18 (32%) patients could reach beyond 37 weeks, there were 21 (38%) cases between 34 to 37 weeks and 16 (29%) between 30 to 34 weeks of gestation. Preterm delivery was the commonest complication occurring in 67% of the cases. Cephalic presentation of both the babies occurred in 36% of the cases. 50% of the twins needed admission to NICU for various indications like prematurity, birth asphyxia, low birth weight, meconium staining of liquor & delivery by caesarean section. In our study among the 55 twin births there were 16 (29 %) perinatal deaths and one maternal mortality. Conclusions: Twin pregnancies are high risk pregnancies with more maternal and fetal complications. The use of antenatal care services, identification and anticipation of complications, intrapartum management and good NICU facilities will help to improve maternal and neonatal outcome in twin pregnancies.

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Twin pregnancies in the Niger Delta of Nigeria: a four-year review

Cited by 13 publications

References 13 publications

A Review of Twinning in Niger Delta Region, Nigeria

A Review of Twinning in Niger Delta Region, Nigeria

Twin Gestation : A Challenging Task

Study of obstetric and fetal outcome of twin pregnancy in a tertiary care centre

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