Department of Obstetrics and Gynaecology, Ebonyi State University, Abakaliki-Enugu Expressway, Abakaliki, Ebonyi State 480001, Nigeria.
Singapore Med J. 2011 Mar;52(3):163-7.
Higher-order multiple births have implications for perinatal and maternal morbidity and mortality. This study aimed to determine the incidence and outcomes of higher-order multiple pregnancies in a rural area in Southeast Nigeria.
The study reviewed the data on all higher-order multiple deliveries conducted in two tertiary health institutions in Abakaliki over a seven-year period from January 2000 to December 2006.
Higher-order multiple births constituted 0.13 percent of the 16,968 deliveries at the two institutions. There were 21 triplet births and one quadruplet delivery. Mothers with higher-order multiple pregnancies had more antenatal admissions for preterm uterine contractions and had more preterm deliveries. The vaginal route was the preferred method of delivery. Stillbirth was recorded in 12.7 percent of the triplets, with 25.5 percent involving triplets I, II and III, who suffered birth asphyxia. The perinatal mortality rate was 276 per 1,000.
The Igbo women of Ebonyi State, Nigeria, have a high rate of higher-order multiple births. These are attended by increased obstetric and perinatal complications. Abdominal delivery is therefore recommended in order to reduce the rate of intrapartum stillbirth and birth asphyxia among triplets.
更高阶的多胎妊娠对围产期和母婴发病率和死亡率有影响。本研究旨在确定在尼日利亚东南部一个农村地区更高阶多胎妊娠的发生率和结局。
本研究回顾了 2000 年 1 月至 2006 年 12 月期间在阿巴卡利基的两家三级医疗机构进行的所有更高阶多胎分娩的数据。
更高阶多胎妊娠占这两家机构 16968 例分娩的 0.13%。有 21 例三胞胎和 1 例四胞胎分娩。更高阶多胎妊娠的母亲有更多的产前早产子宫收缩和早产分娩。阴道分娩是首选的分娩方式。12.7%的三胞胎出现死胎，其中 25.5%涉及一胎、二胎和三胎，这些婴儿出现窒息。围产儿死亡率为每 1000 例 276 例。
尼日利亚埃邦伊州的伊博妇女多胎妊娠率较高。这些妊娠伴有更高的产科和围产期并发症。因此，建议采用剖宫产以降低三胞胎分娩时的死产和窒息发生率。
