Retained second twin: experience from from Ile-Ife, Nigeria
| Autor: | B E K Kalu, O C Ezechi, O B Fasubaa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2004 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Referral Population Twins Nigeria Hospitals Maternity Infant Newborn Diseases Pregnancy Survivorship curve medicine Humans education Obstetrics and Gynecology Department Hospital Twin Pregnancy Retrospective Studies education.field_of_study business.industry Incidence (epidemiology) Incidence Infant Newborn Pregnancy Outcome Retrospective cohort study General Medicine Puerperal Disorders medicine.disease Delivery Obstetric Survival Analysis Obstetric Labor Complications Maternal Mortality Socioeconomic Factors Fetal Mortality Multiple birth Female Pregnancy Multiple business |
| Zdroj: | East African Medical Journal; Vol 80, No 2 (2003): ; 110-113 |
| ISSN: | 0012-835X |
| Popis: | Background: Retained second twin contributes significantly to perinatal morbidity and mortality, as well as maternal morbidity and mortality, usually arising as a result of intervention to salvage the retained foetus. Objective: To review the current incidence, management, fate and outcome of both the retained foetus and its mother, with a view to proffering solution. Design: Retrospective review over a 12 year period from January 1988 to December 1999. Setting:Obafemi Awolowo University teaching hospital, Ile Ife, Nigeria. Subjects:All cases of retained second twin managed during this period. Main outcome measures:Causes, sources of referral, perinatal and maternal complications. Results:The incidence is still high (7.9%). Majority of the patients were referred from rural centers (49.6%) and in poor fetal conditions (41.9%). The fetal survival in patients that presented within two hours of delivery of the first twin was 74.2%. The perinatal and maternal mortality were 47.3% and 3.9% respectively. Conclusion: The incidence and associated maternal and fetal complications of retained twin is still rather high. Therefore, irrespective of the antenatal course and early labour findings, the conduct of twin deliveries must be in a well-equipped health institution with adequate staff. There should also be an efficient referral system for occasional emergencies from the peripheral centres. (East African Medical Journal: 2003 80(2): 110-113) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|