Perinatal Complications plications of Twin Deliveries at Jimma University Specialized Hospital, Southwest Ethiopia: A Facility-based ased Cohort Study

Authors

  • Temesgen Tilahun Wallaga University
  • Fitsum Araya Jimma University
  • Gurmesa Tura Jimma University

Keywords:

Twin delivery, Perinatal complication, Southwest Ethiopia

Abstract

Twin pregnancy carries higher foetal and neonatal complications. This situation is worse in Sub-Saharan Africa due to lack of well-equipped facilities. Studies on twin pregnancy and its perinatal complications are limited in Ethiopia. Thus, this study aimed to fill this gap. A hospital-based cohort study was conducted in Jimma University Specialized Hospital on 144 twin deliveries and 288 singleton deliveries from December 2012 to November 2013 in obstetrics ward of Jimma university specialized hospital. Data were collected through face-to- face interview by using structured-questionnaire and analyzed by SPSS V.20.0. The relative risks of twin deliveries were higher for the occurrence of low birth weight, need for neonatal intensive care unit admissions, early neonatal deaths and preterm births as compared with singleton deliveries. Unique foetal complications like both twin deaths, co-twin deaths, discordant twin and gross congenital malformation were common in twin deliveries. In conclusion, women with twin pregnancy were at a higher risk of ante-partum and intrapartum foetal and neonatal complications. Therefore, care providers should give special attention for the mother during pregnancy, labour and delivery, and both for the mother and her new born during postpartum period.

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Author Biographies

Temesgen Tilahun, Wallaga University

College of Medical and Health Sciences, Wollega University, P.O. Box: 395, Nekemte, Ethiopia

Fitsum Araya, Jimma University

College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia

Gurmesa Tura, Jimma University

College   of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia

References

Abasiattai, A.M., Aniefiok J. Umoiyoho., Ntiense M. Utuk., Dolapo G. Shittu (2010). Incidence and mode of delivery of twin pregnancies in Uyo, Nigeria. Nigerian Medical Journal 51(4): 170-172.

Abdulaziz, A.M. (2001). Epidemiology and Antenatal Complications of Twin Gestation: An 8-Year Review. Bahrain Medical Bulletin 23(2): 56-60

Akinboro, A., Azeez, M.A. and Akinboro A.A. (2008). Frequency of twinning in southwest Nigeria. Indian Journal of Human Genetics 14(2): 41-47.

Ananth C.V., Chauhan, S.P. (2012). Epidemiology of Twinning in Developed Countries. Seminars in Perinatology 36(3): 156-161.

Blickstein, I., Perlman, S., (2012). Single fetal death in twin gestations. Journal of Perinatal Medicine 0(0):1-5.

Breathnach. F.M., Malone, F.D. (2012). Fetal Growth Disorders in Twin Gestations. Seminars in Perinatology 36(3):175-181.

Cunningham F.G, Kenneth J. Leveno., Steven L. Bloom., John C. Hauth., Dwight J. Rouse., Catherine Y.

Spong. (2010). Williams Obstetrics. 23rd edition. USA: McGraw-Hil

Dera, A., Grzegorz H. Bręborowicz., Louis Keith (2007). Twin pregnancy- physiology, complications and the mode of delivery. Archives of Perinatal Medicine 13(3): 7-16.

Gessessew, A. (2007). Twin deliveries in a zonal hospital: ten years retrospective study. Ethiopian Medical Journal 45(1):55-59

Glinianaia, S.V., Rankin, J., Sturgiss, S.N., Ward Platt, M.P., Crowder, D., Bell, R. (2013). The North of England Survey of Twin and Multiple Pregnancy. Twin Research and Human Genetics 16(2):112-116.

Ibrahim, I., Oyeyemi, A., Obilahi, A. (2012). Twin pregnancies in the Niger Delta of Nigeria: a four-year review. International Journal of Women’s Health 4: 245-249.

Korsak, V.S. (1989). Incidence and some perinatal problems of multiple pregnancies in a central referral hospital, Addis Ababa. Ethiopian Medical Journal 27(4): 217-221.

Kullima, A.A., Audu, B.M., Geidam, A.D. (2011). Outcome of twin deliveries at the University of Maiduguri Teaching Hospital: A 5-year review. Nigerian Journal of Clinical Practice 14(3):345-348.

Mille Jena., Suneet P. Chauhan., Alfred Z. Abuhamad, (2012). Discordant twins: diagnosis, evaluation and management. American Journal of Obstetrics and Gynecology 206(1):10–20.

Morin, L., Lim, K. (2011). Ultrasound in Twin Pregnancies. Journal of Obstetrics and Gynaecology Canada 33(6): 643-656.

Obiechina, N.J., Okolie, V.E., Eleje, G.U., Okechukwu, Z.C., Anemeje, O.A. (2011). Twin versus singleton pregnancies: the incidence, pregnancy complications, and obstetric outcomes in a Nigerian tertiary hospital. International Journal of Women’s Health 3: 227-230.

Shepherd, L.J., Smith, G.N., (2011). Conjoined Twins in a Triplet Pregnancy: A Case Report. Case Reports in Obstetrics and Gynecology, 2011, 235873. doi:10.1155/2011/235873

Sikosana L. Majid. (2006). Prevalence and characteristics of mothers with multiple pregnancies and associated labour complications at Muhimbili National Hospital. Dar es Salaam Medical Students Journal 14(1): 10-13.

Simpson, L.L. (2013). Twin-twin transfusion syndrome. American Journal of Obstetrics and Gynecology 208(1): 3-18.

Smits, J., Monden, C. (2011). Twinning across the Developing World. PLoS ONE 6(9):e25239 doi:10.1371/journal.pone.0025239

Steven Frank (2011). Twin pregnancy: Prenatal issues.Uptodate.19.3 version electronic material.

Steven G. Gabbe., Joe Leigh Simpson., Jennifer R. Niebyl., Henry Galan., Laura Goetzl., Eric, R.M., Jauniaux, and Mark Landon (2007). Obstetrics: Normal and Problem Pregnancies. 5th edition. USA: Elsevier.

Takae, S., Izuchi, S., Murayama, K., Kondo, H., Kobayashi, Y., Ishizuka, B. (2011). Two cases of pregnancy involving conjoined twins, with details of management after opting for live birth. Journal of Obstetrics and Gynaecology Research 37(10): 1478-1483.

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Published

30.03.2015

How to Cite

Tilahun, T., Araya, F., & Tura, G. (2015). Perinatal Complications plications of Twin Deliveries at Jimma University Specialized Hospital, Southwest Ethiopia: A Facility-based ased Cohort Study. Journal of Science, Technology and Arts Research, 4(1), 134–138. Retrieved from https://journals.wgu.edu.et/index.php/star/article/view/172

Issue

Section

Original Research

Categories

Plaudit