Unuigbe J A, Orhue A A, Feyi-Waboso P A
Department of Obstetrics and Gynaecology, College of Medical Sciences, University of Benin, Nigeria.
Int J Gynaecol Obstet. 1988 Jun;26(3):393-7. doi: 10.1016/0020-7292(88)90335-9.
In an 8-year period (January 1978 to December, 1985), the 17,379 deliveries at the University of Benin Teaching Hospital (UBTH) consisted of 2089 cesarean sections (12.0%), 56 of which were associated with twin pregnancy. The main indications for cesarean section on the twin pregnancies were antepartum hemorrhage (placenta previa), malpresentation, cervical dystocia and previous cesarean section. The maternal mortality rate was 2% for all twin mothers delivered by cesarean section. There was no statistical difference in perinatal mortality rates (PMR) for all twin deliveries, vaginal twin deliveries and deliveries by cesareans section which were 111,113 and 100 per 1000 births, respectively. In the case of a retained second twin, however, recorded PMR was significantly higher (133 per 1000 births). Consideration of more liberal recourse to cesarean section in all cases of twins may reduce these unacceptably high perinatal death rates in twin pregnancy.
在8年期间（1978年1月至1985年12月），贝宁大学教学医院（UBTH）的17379例分娩中，有2089例剖宫产（12.0%），其中56例与双胎妊娠有关。双胎妊娠剖宫产的主要指征是产前出血（前置胎盘）、胎位异常、宫颈难产和既往剖宫产史。所有剖宫产分娩的双胎母亲的孕产妇死亡率为2%。所有双胎分娩、双胎阴道分娩和剖宫产分娩的围产儿死亡率（PMR）分别为每1000例出生111例、113例和100例，无统计学差异。然而，对于滞留第二胎儿的情况，记录的PMR显著更高（每1000例出生133例）。考虑在所有双胎病例中更广泛地采用剖宫产可能会降低双胎妊娠中这些高得令人无法接受的围产儿死亡率。
