EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (Under Process) , 

 ISSN 2394-3211

Impact Factor: 4.897

 ICV - 79.57

Abstract

TWIN BIRTHS IN SOKOTO: A 5-YEAR REVIEW

Shehu C. E.* and Sulaiman B.

ABSTRACT

Background: Twin pregnancy is of major obstetric importance in Nigeria, not just because the highest incidence in the world occurs here but it also poses higher feto-maternal risks in our low-resource setting due to scarcity of human and material resources which translates to increased maternal/perinatal morbidity and mortality. Objectives: To determine the incidence, mode of delivery, and factors associated with maternal and perinatal morbidity and mortality in twins delivered at the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. Methodology: All case notes of twin deliveries from 1st January 2009 to 31st December 2013 were retrospectively reviewed. Data obtained were analysed using SPSS for windows version 20.0. Results: There were 15,712 deliveries of which 187 were twin births giving an incidence of 11.9 per 1,000 births. The mean maternal age was 27.9 ± 5.7 years with a mean parity of 2.9 ± 2.8. The mean gestational age at delivery was 33.1 ± 6.6 weeks. Majority, 135 (72.2%) were delivered vaginally while 41(21.9%) had Caesarean delivery. The remaining 11(5.9%) had combined vaginal/Caesarean deliveries. Malpresentation 11 (29.7%) was the most common indication for caesarean section. Hypertensive disorders of pregnancy 37 (20.1%) and low birth weight 97 (26.3%) were the leading maternal and fetal complications. The stillbirth rate was 57.1 per 1000 births. There was no maternal mortality. Conclusion: The incidence of twin pregnancy is relatively low in our centre. Vaginal delivery was the most common mode of delivery and fetal malpresentation necessitated delivery by caesarean section. The most common maternal morbidity was hypertensive disorders in pregnancy and low birth weight was the most common fetal complication. There was no maternal death. Further regular audits are recommended to monitor practice.

Keywords: .


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (Under Process)