Document Detail


Where there is no ultrasound: delay and failure of antenatal diagnosis of twin pregnancy.
MedLine Citation:
PMID:  12568509     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigate the problem of late diagnosis of twin pregnancy in Soweto, South Africa, where routine antenatal ultrasound is not available. One hundred consecutive pairs of twins were studied, using the notes of mothers who delivered twins at Chris Hani Baragwanath Hospital and the referring Soweto clinics. A positive history was found in 31 mothers (22 family history, nine previous history of twins). Six mothers did not attend for antenatal care. Twenty-five twin pregnancies were discovered at delivery, 15 of them in the second stage of labour, and 27 were diagnosed accidentally in the third trimester. Only 15 pregnancies were referred specifically for suspicion of twin pregnancy. Most twin pregnancies are detected only in the third trimester or at delivery. Until routine ultrasound is available to all pregnant women, the teaching of antenatal care in South Africa must give emphasis to clinical suspicion of twin pregnancy.
Authors:
M C Groot; E J Buchmann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Tropical doctor     Volume:  33     ISSN:  0049-4755     ISO Abbreviation:  Trop Doct     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-02-05     Completed Date:  2003-03-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1301706     Medline TA:  Trop Doct     Country:  England    
Other Details:
Languages:  eng     Pagination:  5-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics & Gynaecology, Chris Hani Baragwanath Hospital, Soweto, South Africa.
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MeSH Terms
Descriptor/Qualifier:
Adult
Delivery, Obstetric / standards
Female
Gestational Age
Humans
Infant, Newborn
Male
Medical Records
Perinatal Care / standards*
Pregnancy
Pregnancy Outcome
Pregnancy Trimesters
Pregnancy, High-Risk
Prenatal Diagnosis / standards*,  utilization*
Registries
Retrospective Studies
South Africa / epidemiology
Twins / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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