ABSTRACT
Twin gestations are commonly associated with delivery of low birthweight infants. Despite the fact that Nigeria has the highest incidence of twinning in the world; there is paucity of information on the characteristics ofLBWtwin infants in Nigeria. To determine the incidence and document some of the characteristics of low birth weight (LBW) twin infants. Adescriptive analysis of data on 119LBWtwin infants delivered between 1st January; 2000 and 31st December; 2003 in a Nigerian mission hospital in Benin City was carried out. The characteristics of the LBW twin infants was studied in relation to perinatal mortality. The overall incidence of LBWtwin infants was 51.7with a female preponderance. Of the 107 liveborn LBWtwins; 74 (69.2) compared to 33 (30.8) were preterm and term small-for-gestational age (SGA) infants respectively (p
Subject(s)
Birth Weight , Incidence , Pregnancy , TwinsABSTRACT
Background: The incidence of twin delivery in Nigeria may have changed; in view of the worldwide increase in the rates of twinning attributed to increasing maternal age and use of fertility therapies. Objective: To determine the current incidence of twin delivery in Benin City and document the foetal outcome in twins. Methods: A four-year descriptive (cross-sectional) study of twin deliveries in a Nigerian mission hospital was conducted. The foetal outcome in 115 sets of twin was compared with that of 230 singleton controls. Results: The current incidence of twin delivery was 25.3 per 1000 deliveries or one in 40 births; representing a reduction by 24.2. Sex ratio was 0.98 : 1 in favour of females. Seasonal variation was observed in the incidence of twin delivery with a significantly higher incidence in wet than in dry season p
Subject(s)
Cross-Sectional Studies , Incidence , Maternal Age , Pregnancy Outcome , TwinsABSTRACT
Background: In Nigeria; perinatal mortality remains a major health problem with the balance heavily tilted towards the stillbirth component. Knowledge of the relative importance of the different causes of stillbirth is lacking; even in hospital settings.Objective: To determine the stillbirth rate in a Nigerian mission hospital and document its risk factors.Methods: In this retrospective study; the case records of 131 mothers who had stillbirths were studied and the data obtained analyzed. The relevant hospital delivery registers were also examined.Results: Stillbirth rate was 39.7 per 1000 births with 51.9and 48.1being macerated and fresh stillbirths respectively. Antepartum haemorrhage; preeclampsia/eclampsia and prolonged/obstructed labour were the three leading risk factors for stillbirth. Low birthweight babies were also at increased risk of foetal death. Majority (61.8) of mothers whose babies were stillborn belonged to low social class.Conclusion: Our stillbirth rate remains unacceptably high and strategies to reduce it must focus on antenatal and intrapatum emergency obstetric care and early referrals in hospital setting
Subject(s)
Perinatal Mortality , Risk Factors , StillbirthABSTRACT
Background:In Nigeria; perinatal mortality remains a major health problem with the balance heavily tilted towards the stillbirth component. Knowledge of the relative importance of the different causes of stillbirth is lacking; even in hospital settings.Objective: To determine the stillbirth rate in a Nigerian mission hospital and document its risk factors.Methods: In this retrospective study; the case records of 131 mothers who had stillbirths were studied and the data obtained analyzed. The relevant hospital delivery registers were also examined.Results: Stillbirth rate was 39.7 per 1000 births with 51.9and 48.1being macerated and fresh stillbirths respectively. Antepartum haemorrhage; preeclampsia/eclampsia and prolonged/obstructed labour were the three leading risk factors for stillbirth. Low birthweight babies were also at increased risk of foetal death. Majority (61.8) of mothers whose babies were stillborn belonged to low social class.Conclusion: Our stillbirth rate remains unacceptably high and strategies to reduce it must focus on antenatal and intrapatum emergency obstetric care and early referrals in hospital setting