A Review of Twinning in Niger Delta Region, Nigeria

Ikeanyi Eugene Maduabuchukwu; Ikobho Ebenezer Howell

doi:doi:10.11648/j.cmr.20180701.13

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A Review of Twinning in Niger Delta Region, Nigeria

Ikeanyi Eugene Maduabuchukwu, Ikobho Ebenezer Howell

Published in Clinical Medicine Research (Volume 7, Issue 1)

Received: 7 February 2018 Accepted: 25 February 2018 Published: 22 March 2018

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Abstract

Background: Twin pregnancy is as fascinating as it is high risk and its epidemiology is globally more dynamic in the recent times. It is associated with increase maternal morbidities, fetal wastage and neonatal morbidities and mortality. Objectives: To determine the current incidence, assess the trend and investigate maternal and perinatal outcomes and influencing factors of twinning. Methods: For this case control study, data was collected on twin pregnancies; the study group and singleton pregnancies; the control group between January 2009 and December 2016 at a missionary Hospital in south-south Nigeria. EPI INFO and INSTAT statistical software were used for analyses and Fisher’s exact test for tests of statistical associations setting the statistical significance at <.05. Results: Among 8769 deliveries were 207 pairs of twins, a twinning incidence of 2.4% or 1 in 42 with an upward trend in incidence. Twin mothers were relatively older with those aged 30-34 years (41.2%) as the modal age group, less literate and less likely to have prenatal care. They were more prone to anemia, caesarean birth, Postpartum hemorrhage, gestational hypertension and blood transfusion (P<0.05). Mean gestational age and birth weight of twins were 35.5±3.8 weeks and 2352.9±746.4gm respectively. The twins were associated with increased preterm births (OR 28.1, P<0.001), Low birth weight (OR 15.6-24.1, P<0.001), perinatal death (OR 3.6, P<0.001), birth asphyxia (OR 2.9-5.9, P<0.01) and Special Care Baby Unit admission (OR 9.8-12.5, P<0.001). About 7 (66.2%) and 3 (31.4%) of every 10 first twins were in cephalic and breech presentation respectively with cephalic/cephalic (44.0%) the leading paired presentations. Conclusion: There was high and increasing incidence of twinning in this population. Twin pregnancy is associated with increased maternal morbidity and perinatal morbidity and mortality. To improve twinning outcome will require quality obstetric and perinatal care.

Published in	Clinical Medicine Research (Volume 7, Issue 1)
DOI	10.11648/j.cmr.20180701.13
Page(s)	18-25
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Multiple Pregnancy, Twin Gestation, Maternal, Outcome, Perinatal, Benin City

References

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APA Style

Ikeanyi Eugene Maduabuchukwu, Ikobho Ebenezer Howell. (2018). A Review of Twinning in Niger Delta Region, Nigeria. Clinical Medicine Research, 7(1), 18-25. https://doi.org/10.11648/j.cmr.20180701.13

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ACS Style

Ikeanyi Eugene Maduabuchukwu; Ikobho Ebenezer Howell. A Review of Twinning in Niger Delta Region, Nigeria. Clin. Med. Res. 2018, 7(1), 18-25. doi: 10.11648/j.cmr.20180701.13

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AMA Style

Ikeanyi Eugene Maduabuchukwu, Ikobho Ebenezer Howell. A Review of Twinning in Niger Delta Region, Nigeria. Clin Med Res. 2018;7(1):18-25. doi: 10.11648/j.cmr.20180701.13

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@article{10.11648/j.cmr.20180701.13,
  author = {Ikeanyi Eugene Maduabuchukwu and Ikobho Ebenezer Howell},
  title = {A Review of Twinning in Niger Delta Region, Nigeria},
  journal = {Clinical Medicine Research},
  volume = {7},
  number = {1},
  pages = {18-25},
  doi = {10.11648/j.cmr.20180701.13},
  url = {https://doi.org/10.11648/j.cmr.20180701.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20180701.13},
  abstract = {Background: Twin pregnancy is as fascinating as it is high risk and its epidemiology is globally more dynamic in the recent times. It is associated with increase maternal morbidities, fetal wastage and neonatal morbidities and mortality. Objectives: To determine the current incidence, assess the trend and investigate maternal and perinatal outcomes and influencing factors of twinning. Methods: For this case control study, data was collected on twin pregnancies; the study group and singleton pregnancies; the control group between January 2009 and December 2016 at a missionary Hospital in south-south Nigeria. EPI INFO and INSTAT statistical software were used for analyses and Fisher’s exact test for tests of statistical associations setting the statistical significance at <.05. Results: Among 8769 deliveries were 207 pairs of twins, a twinning incidence of 2.4% or 1 in 42 with an upward trend in incidence. Twin mothers were relatively older with those aged 30-34 years (41.2%) as the modal age group, less literate and less likely to have prenatal care. They were more prone to anemia, caesarean birth, Postpartum hemorrhage, gestational hypertension and blood transfusion (P<0.05). Mean gestational age and birth weight of twins were 35.5±3.8 weeks and 2352.9±746.4gm respectively. The twins were associated with increased preterm births (OR 28.1, P<0.001), Low birth weight (OR 15.6-24.1, P<0.001), perinatal death (OR 3.6, P<0.001), birth asphyxia (OR 2.9-5.9, P<0.01) and Special Care Baby Unit admission (OR 9.8-12.5, P<0.001). About 7 (66.2%) and 3 (31.4%) of every 10 first twins were in cephalic and breech presentation respectively with cephalic/cephalic (44.0%) the leading paired presentations. Conclusion: There was high and increasing incidence of twinning in this population. Twin pregnancy is associated with increased maternal morbidity and perinatal morbidity and mortality. To improve twinning outcome will require quality obstetric and perinatal care.},
 year = {2018}
}

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TY - JOUR
T1 - A Review of Twinning in Niger Delta Region, Nigeria
AU - Ikeanyi Eugene Maduabuchukwu
AU - Ikobho Ebenezer Howell
Y1 - 2018/03/22
PY - 2018
N1 - https://doi.org/10.11648/j.cmr.20180701.13
DO - 10.11648/j.cmr.20180701.13
T2 - Clinical Medicine Research
JF - Clinical Medicine Research
JO - Clinical Medicine Research
SP - 18
EP - 25
PB - Science Publishing Group
SN - 2326-9057
UR - https://doi.org/10.11648/j.cmr.20180701.13
AB - Background: Twin pregnancy is as fascinating as it is high risk and its epidemiology is globally more dynamic in the recent times. It is associated with increase maternal morbidities, fetal wastage and neonatal morbidities and mortality. Objectives: To determine the current incidence, assess the trend and investigate maternal and perinatal outcomes and influencing factors of twinning. Methods: For this case control study, data was collected on twin pregnancies; the study group and singleton pregnancies; the control group between January 2009 and December 2016 at a missionary Hospital in south-south Nigeria. EPI INFO and INSTAT statistical software were used for analyses and Fisher’s exact test for tests of statistical associations setting the statistical significance at <.05. Results: Among 8769 deliveries were 207 pairs of twins, a twinning incidence of 2.4% or 1 in 42 with an upward trend in incidence. Twin mothers were relatively older with those aged 30-34 years (41.2%) as the modal age group, less literate and less likely to have prenatal care. They were more prone to anemia, caesarean birth, Postpartum hemorrhage, gestational hypertension and blood transfusion (P<0.05). Mean gestational age and birth weight of twins were 35.5±3.8 weeks and 2352.9±746.4gm respectively. The twins were associated with increased preterm births (OR 28.1, P<0.001), Low birth weight (OR 15.6-24.1, P<0.001), perinatal death (OR 3.6, P<0.001), birth asphyxia (OR 2.9-5.9, P<0.01) and Special Care Baby Unit admission (OR 9.8-12.5, P<0.001). About 7 (66.2%) and 3 (31.4%) of every 10 first twins were in cephalic and breech presentation respectively with cephalic/cephalic (44.0%) the leading paired presentations. Conclusion: There was high and increasing incidence of twinning in this population. Twin pregnancy is associated with increased maternal morbidity and perinatal morbidity and mortality. To improve twinning outcome will require quality obstetric and perinatal care.
VL - 7
IS - 1
ER -

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Author Information

Ikeanyi Eugene Maduabuchukwu

Department of Obstetrics and Gynecology, Niger Delta University, Amassoma, Nigeria
Ikobho Ebenezer Howell

Department of Obstetrics and Gynecology, Niger Delta University, Amassoma, Nigeria

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APA Style

Ikeanyi Eugene Maduabuchukwu, Ikobho Ebenezer Howell. (2018). A Review of Twinning in Niger Delta Region, Nigeria. Clinical Medicine Research, 7(1), 18-25. https://doi.org/10.11648/j.cmr.20180701.13

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ACS Style

Ikeanyi Eugene Maduabuchukwu; Ikobho Ebenezer Howell. A Review of Twinning in Niger Delta Region, Nigeria. Clin. Med. Res. 2018, 7(1), 18-25. doi: 10.11648/j.cmr.20180701.13

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AMA Style

Ikeanyi Eugene Maduabuchukwu, Ikobho Ebenezer Howell. A Review of Twinning in Niger Delta Region, Nigeria. Clin Med Res. 2018;7(1):18-25. doi: 10.11648/j.cmr.20180701.13

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@article{10.11648/j.cmr.20180701.13,
  author = {Ikeanyi Eugene Maduabuchukwu and Ikobho Ebenezer Howell},
  title = {A Review of Twinning in Niger Delta Region, Nigeria},
  journal = {Clinical Medicine Research},
  volume = {7},
  number = {1},
  pages = {18-25},
  doi = {10.11648/j.cmr.20180701.13},
  url = {https://doi.org/10.11648/j.cmr.20180701.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20180701.13},
  abstract = {Background: Twin pregnancy is as fascinating as it is high risk and its epidemiology is globally more dynamic in the recent times. It is associated with increase maternal morbidities, fetal wastage and neonatal morbidities and mortality. Objectives: To determine the current incidence, assess the trend and investigate maternal and perinatal outcomes and influencing factors of twinning. Methods: For this case control study, data was collected on twin pregnancies; the study group and singleton pregnancies; the control group between January 2009 and December 2016 at a missionary Hospital in south-south Nigeria. EPI INFO and INSTAT statistical software were used for analyses and Fisher’s exact test for tests of statistical associations setting the statistical significance at <.05. Results: Among 8769 deliveries were 207 pairs of twins, a twinning incidence of 2.4% or 1 in 42 with an upward trend in incidence. Twin mothers were relatively older with those aged 30-34 years (41.2%) as the modal age group, less literate and less likely to have prenatal care. They were more prone to anemia, caesarean birth, Postpartum hemorrhage, gestational hypertension and blood transfusion (P<0.05). Mean gestational age and birth weight of twins were 35.5±3.8 weeks and 2352.9±746.4gm respectively. The twins were associated with increased preterm births (OR 28.1, P<0.001), Low birth weight (OR 15.6-24.1, P<0.001), perinatal death (OR 3.6, P<0.001), birth asphyxia (OR 2.9-5.9, P<0.01) and Special Care Baby Unit admission (OR 9.8-12.5, P<0.001). About 7 (66.2%) and 3 (31.4%) of every 10 first twins were in cephalic and breech presentation respectively with cephalic/cephalic (44.0%) the leading paired presentations. Conclusion: There was high and increasing incidence of twinning in this population. Twin pregnancy is associated with increased maternal morbidity and perinatal morbidity and mortality. To improve twinning outcome will require quality obstetric and perinatal care.},
 year = {2018}
}

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