Document Detail

Retained second twins in Enugu, Nigeria.
MedLine Citation:
PMID:  12767570     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To review our experience with retained second twin in Enugu, Nigeria, over a 10-year period. METHODS: The second twin is retained when a delay of 30 min occurs after the delivery of the first twin. The case notes and records of all twin deliveries at the University of Nigeria Teaching hospital Enugu between January 1991 and December 2000 were retrieved and analyzed. RESULTS: Retained second twin occurred in 1/6 twin deliveries with a resultant perinatal mortality rate of 288.5 per 1000 deliveries which was 1.7 times that of first twin. Malpresentation (54%) and uterine atony (39%) were the principal causes of retained second twins. The place of delivery of the first twin, prolonged birth intervals, oxytocin augmentation of labor and breech extraction affected perinatal outcome. CONCLUSIONS: Early recourse to vacuum extraction and cesarean deliveries of retained second twin, effective health education and adequate supervision of primary health care facilities are advocated to reduce this preventable condition.
U U Aniebue; H U Ezegwui; B C Ozumba
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  81     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-05-27     Completed Date:  2003-12-12     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  281-5     Citation Subset:  IM    
Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
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MeSH Terms
Infant Mortality
Infant, Newborn
Maternal Age
Maternal Mortality
Nigeria / epidemiology
Obstetric Labor Complications / epidemiology*,  etiology,  mortality
Pregnancy Outcome
Retrospective Studies
Risk Factors
Time Factors
Twins / statistics & numerical data*

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