Available online Jul 19, 2018.
[ Original ] Volume 23, Issue 4, 2014, Pages 282-287
Background:Twin pregnancy is a high risk pregnancy with significant implications for both mother and baby.This
study is to assess the current status of twin gestation in Port Harcourt in view of the rising incidence worldwide.
Objective:To determine the prevalence, fetal and maternal outcomes of twin gestation at the University of Port
Harcourt Teaching Hospital (UPTH).
Materials and Methods:This was a 5- year retrospective analysis of hospital records of mothers who had twin
gestation and delivered at UPTH between January 1st 2008 and December 31st 2012.
Results:The prevalence of twin gestation was 16 per 1000 deliveries.The Mean age and parity were 29.63±4.1 and
1.65±1.3 respectively. Premature delivery occurred in 30.8% of cases.Antenatal complications were observed in
66.0% with anaemia being the commonest complication. Caesarean section was performed for 51.06% while
47.34% had successful vaginal delivery and discordant delivery accounted for 1.6%.The commonest intrapartum
complication was fetal distress in 42.86%.There was no significant difference in the mean birthweight between first
and second twin.Unbooked status was significantly associated with birth asphyxia (x2=8.25,p=0.004) and perinatal
mortality (x2=5.04,p=0.02). Monochorionic placentation was also significantly associated with perinatal mortality
(x2=5.52,p=0.018).The perinatal mortality rate was 55.85/1000 total birth while the maternal mortality ratio was
281.09/100,000 live birth.
Conclusion:Twin gestation in Port Harcourt is still associated with significant maternal and perinatal morbidities
and mortality. Early initiation of specialist care in the management of twin gestation and improvement in neonatal
care facilities will improve the outcome of twin gestation in Port Harcourt.
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Volume 23 | Issue 4
Page Nos. 282-287
Online since Jul 13, 2018