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Category: Volume 08 Issue 01 January 2020
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Title: The Prevalence and the Outcome of Twin Pregnancies in a South-South Nigerian Tertiary Hospital

Authors: Abah Matthias Gabriel, Bassey Emem Abasi, Ovie David Okupa

 DOI: https://dx.doi.org/10.18535/jmscr/v8i1.01

Abstract

Twinning is the commonest form of multiple pregnancy, and it is associated with increased adverse perinatal and maternal outcomes. A 5-year retrospective observational study of all cases of twin gestations delivered at the University of Uyo Teaching Hospital was conducted to determine the prevalence as well as document the maternal and perinatal outcomes associated with it. There were 219 twin deliveries during the study period, accounting for 2.17% of all deliveries. Twinning accounted for 98.65% of all multiple births during the period under review. The majority (62.1%) of the women were between 20 and 29 years of age, their mean age was 28.6 years, multiparous women (69.9%), mean parity was 2.7, and booked status (58.0%). The preterm delivery rate was 32.4%, the caesarean section rate was 42.9% and the perinatal mortality rate(PNMR) was 87 per 1000 births. Maternal complications included a high operative delivery rate of 42.8%, hypertensive disorders (9.6%), anaemia (2.7%) and 4.1% of postpartum haemorrhage. The perinatal morbidity and mortality and maternal morbidity rates were high. A significant percentage of the women with these high risk pregnancies were unbooked thereby reducing the opportunity for early detection and management in our environment. There is need for community education and advocacy on early booking and regular antenatal visits and better resources in our maternity unit to improve foetomaternal outcomes of twin.

Keywords: Morbidity, Pregnancy, Multiple, Prevalence, Twins.

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Corresponding Author

Dr Abah, Matthias Gabriel

Department of Obstetrics and Gynaecology

University of Uyo, P.M.B.1017, Uyo, Akwa Ibom state Nigeria