Twin pregnancy incidence and pregnancy outcome at Soba University Hospital

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Research type: Research Paper

Authors: Ahmed, Nidaa El Sadig Mohamed .

Abstract: The purpose of this study was to estimate the incidence of twin pregnancies among patients who delivered at Soba University Hospital in the period specified. Assessment of the effects of demographic and socio-economic factors and intercurrent or past medical history on the outcome of such pregnancies were the ultimate objectives. 71 (2.8 percent of total deliveries) consecutive twin pregnancies were delivered at the Department of Obstetric and Gyncology of the hospital. Those were compared with a same number of randomely chosen singleton deliveries following delivery of a pair of twin. Twin pregnancies were found more following spontaneous conception. Dizygotic twins were in exces of monozygotic but more adverse outcomes were in the later. More twin pregnancies were found among multiparous patients (74.65 percent) with low socio - economic status. Family history was found a strong determinant of the incidence (61 percent). Maternal age was found to be parallel with that of general obstetric population (20-29 percent Years). Intercurrent medical diseases and pregnancy complications were more common among twin pregnancies than singleton (83.09 percent vs 54.92 percent) and adversely affect the pregnancy outcome. Higher rates of preterm, low birth weight, malpresentation mainly of the second twin accounted for the higher perinatal mortality rate among twin birth (77.5/1000 birth vs 42.25/1000 birth). Primary Cesarean delivery for malpresenting fetuses was found to have a slightly better effect on the perinatal outcome. So adoption of this route can be considered to a chieve better results. This correlate with some studies. Satisfactory lower maternal morbidity was encountered due to fair supervision during pregnancy and labour inspite of limited fascilities. Twin pregnancies are high risk ones and benefit from early diagnosis, prevention and treatment of premature birth. The quality rather than the quantity of the antenatal care will provide better results..