Review of Twin Deliveries and Fetomaternal Outcomes in a Tertiary Hospital in Lagos, Southwest Nigeria
DOI:
https://doi.org/10.60787/njgp.v16i1.100Keywords:
twin pregnancies, stillbirth, preterm, perinatal, mortalityAbstract
Background: Twin pregnancies make up the greater majority of multiple pregnancies and are associated with significantly high maternal and perinatal morbidity and mortality.
Objectives: The objective of the study was to determine the rate and fetomaternal outcome of twin deliveries at the Lagos University Teaching Hospital (LUTH).
Methodology: This was a 5-year review of twin deliveries conducted at LUTH between January 1, 2010, and December 31, 2014. The case notes of all women who had twin deliveries during the study period were retrieved from the Medical Records Department and the relevant information extracted. The data were analyzed and then presented in simple descriptive statistics using tables and charts.
Results: The rate of twin pregnancies was 1 in 28.4 deliveries. The mean age of the studied women was 35.4 ± 9.7 years, with majority (80.9%) being either primi‑ or multipara and 50% belonging to the Yoruba ethnic group. The most common mode of delivery was cesarean section with a mean gestational age at delivery of 34.7 ± 0.6 weeks and mean birth weight of 2.05 ± 0.4 kg. The stillbirth rate was 24 per 1000 total births, while the maternal mortality ratio was 1114 per 100,000 live births.
Conclusion: The rate of twin pregnancies and its attendant adverse fetomaternal outcomes still remain high in our environment. Multiparity and belonging to the Yoruba ethnic group are the two most important risk factors.
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