Delay in Motor Development of Twins in Africa: A Prospective Cohort Study

Goetghebuer, Tessa; Ota, Martin O. C.; Kebbeh, Bunja; Malick, John; Jackson-Sillah, Dolly; Vekemans, Johan; Marchant, Arnaud; Newport, Melanie J.; Weiss, Helen A.

doi:10.1375/twin.6.4.279

Cited by 7 publications

(9 citation statements)

References 29 publications

(44 reference statements)

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“…In a study of British twins born before 34 weeks GA (Morly et al, 1989), no differences were found between twins and singletons. However, a study of Goetghebuer et al (2003) reports that motor development during the first 18 months of life was delayed in Gambian twins compared to singletons for eight motor milestones. However, after adjustment for birthweight and number of siblings, singletons were ahead for three out of eight motor milestones (maintain head, sit and walk).…”

Section: Discussionmentioning

confidence: 99%

Influences on Achieving Motor Milestones: A Twin–Singleton Study

Brouwer

Beijsterveldt²,

Bartels³

et al. 2006

twin res hum genet

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Section: Discussionmentioning

confidence: 99%

Influences on Achieving Motor Milestones: A Twin–Singleton Study

Brouwer

Beijsterveldt²,

Bartels³

et al. 2006

twin res hum genet

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“…1 Highest burden of multiple pregnancies has been found in Sub-Saharan Africa, with an average twinning rate of 20 per 1,000 deliveries compared to 10 per 1,000 deliveries in Europe and around 5-6 per 1,000 deliveries in Asia. [2][3][4] The number and rate of twin, triplet and higher order multiple births have also increased in India at an unprecedented pace over the past two decades. This extraordinary increase in multiple births is a public health hazard because such pregnancies are associated with increased risk for both mother and the child.…”

Section: Introductionmentioning

confidence: 99%

Study of maternal and fetal outcome in twin pregnancy

Singh

Trivedi

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Multiple pregnancies are associated with an increased risk of obstetric complications as well as perinatal morbidity and mortality especially in developing countries. The present study aims to understand the maternal and perinatal outcomes of multiple and singleton pregnancies delivering at Rajendra Institute of Medical Sciences, Ranchi, India. Aim of study was to investigate the maternal and fetal outcome in twin pregnancies in Rajendra Institute of Medical Sciences (RIMS), RanchiMethods: This comparative prospective study was conducted in the department of obstetrics and gynecology, Rajendra Institute of Medical Sciences, Ranchi from the period of 1st April 2015 to 30th September 2016. Consecutive sampling was done till the sample size of 75 was reached for both twin and singleton pregnancies. It included all women admitted in antenatal ward and labor room with clinical or ultrasound diagnosis of twin pregnancy after 28 weeks of gestation.Results: The incidence of twins in this study was 1.85%. Mean maternal age was 25.25±4.5 years for twin pregnancies and 23.53 ± 3.3 for singleton pregnancies. Twins were seen more in multigravida (70.7%) as compared to primigravida (29.3%). Preterm labor (74.7%), anemia (44%) and hypertensive disorders (32%) and PPH (13.33%) were the most common complication in twin pregnancies. Significantly higher rate of LSCS were seen in twin pregnancies (32.67%) as compared to singletons 18.67%. Mean weight of first twin was 2.03±0.52kg and for second twin it was 1.98±0.51kg. There was higher incidence of moderate to severe asphyxia, IUGR and higher rate of NICU admissions in twins as compared to singletons. Perinatal mortality rate of monchrionic pregnancy was 30% and it was 10.2% for dichorionic pregnancy which shows a significant association of perinatal mortality rate and chorionicity.Conclusions: Good antenatal care, with increased rest and nutritional supplementation, early detection of fetal and maternal complications together with thorough intranatal and postnatal vigilance, can lower both maternal and fetal dangers.

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“…Nigeria has long been recognized for a high incidence of multiple pregnancies [6,7,8] The Yoruba people of Nigeria possess a twinning rate more than four-fold that of Caucasian population, and the highest rate in the world [9].…”

Section: Introductionmentioning

confidence: 99%

Twins Birth in Kano, Northern Nigeria

Yakasai¹

2013

iosrphr

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Abstract:-Objectives: To determine the incidence of twin pregnancy at Aminu Kano Teaching Hospital and associated maternal and perinatal morbidity. Materials and Methods: This is a descriptive study of patients with twin pregnancy, who delivered at Aminu Kano Teaching Hospital (AKTH) from 1 st January, 2005 to 31 st December, 2009. Case notes of the patients were retrieved from the records department and the data analyzed using Epi Info and Minitab electronic statistical software Results: Three hundred and forty nine pregnant women were admitted and delivered of twins during the period under review. One ninety four case notes were available from the record officers giving a retrieval rate of 55.6% The mean age was 27.7±4.9 and the mean parity was 2.3±2.21. 69.6% of the twins' mothers were booked. The rate of twin delivery was 22.9/1,000. Pregnancy induced hypertension (12.9%), pre-labour rupture of membrane (7.7%) and footling breech (4.1%) were the leading complications. The mean gestational age at delivery was 37.1±2.4. 57 patients (29.4%) had caesarean section due to various intrapartum complications. Five babies (1.3%) died in the early neonatal period, 25 (6.5%) were stillborn, 23 (5.9%) were asphyxiated and 195 (50.3%) were low birth weight. There was no statistically significant difference between the mean birth weight and Apgar scores of first and second twins. Conclusion:The incidence of twin pregnancy increases with advanced parity and maternal age. The maternal and perinatal morbidity were found to be significantly high in twin pregnancy in this study.

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Delay in Motor Development of Twins in Africa: A Prospective Cohort Study

Cited by 7 publications

References 29 publications

Influences on Achieving Motor Milestones: A Twin–Singleton Study

Influences on Achieving Motor Milestones: A Twin–Singleton Study

Study of maternal and fetal outcome in twin pregnancy

Twins Birth in Kano, Northern Nigeria

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