Abstract
Background: Twin pregnancy is a high-risl pregnancy with increased risk of obstetric complications. Objective: This study is to identify magnitude and obstetric Complications of twin deliveries at Nekemte Referral Hospital. Method: Hospital-based unmatched Case-control study design was carried-out on 104 sets of twin deliveries as cases and 208 singleton deliveries as controls conducted in obstetrics ward of Nekemte Referral Hospital from March 1, 2016 to February 29, 2017. The data were collected through pretested structured questionnaires and analyzed using SPSS version 20.0. The association between twin delivery and different variables were assessed by using odds ratio (OR) along with 95%CI. Results: The magnitude of twin deliveries was 28.6 in 1000 deliveries. The odds ratio of twin deliveries were significantly higher for the occurrence of hypertensive disorders of pregnancy, gestational diabetes mellitus, preterm delivery, pre-mature rupture of membrane, antepartum hemorrhage, cesarean delivery, anemia, postpartum hemorrhage, sepsis, and cord prolapse when compared to singleton deliveries. Conclusion: The magnitude of twin delivery in this study was high and numerous maternal complications were identified when compared to singleton deliveries. Thus, twin deliveries need greater attention during pregnancy, delivery and after delivery.
Highlights
Twin pregnancy is a type of multiple birth in which the mother gives birth to two babies from the same pregnancy
The odds ratio of twin deliveries were significantly higher for the occurrence of hypertensive disorders of pregnancy, gestational diabetes mellitus, preterm delivery, pre-mature rupture of membrane, antepartum hemorrhage, cesarean delivery, anemia, postpartum hemorrhage, sepsis, and cord prolapse when compared to singleton deliveries
The magnitude of twin delivery in this study was high and numerous maternal complications were identified when compared to singleton deliveries
Summary
Twin pregnancy is a type of multiple birth in which the mother gives birth to two babies from the same pregnancy. It usually resulted from fertilization of two separate egg cells and rarely from single fertilized ovum. Its magnitude is generally increasing and varies across human populations [1,2,3] Both the anatomic and physiologic changes of twin pregnancy vary from that of singleton pregnancy. Because of this fact, it is associated with increased risk of maternal and fetal complications both in the developed and developing countries. Twin pregnancy is a high-risk pregnancy with increased risk of obstetric complications
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