Adinma J I, Agbai A O
Department of Obstetrics and Gynecology, College of Health Sciences, Nnamdi Azikiwe University, Nnewi, Nigeria.
Afr J Med Med Sci. 1996 Dec;25(4):377-9.
The mode of delivery and outcome in 158 twin births in a Nigerian sub-urban hospital are reviewed. Apgar scores at one minute were significantly higher for twin 1 compared to twin 2 in vertex deliveries only. There was no significant difference in Apgar scores at 5 minutes between the twins for the various modes of delivery. Apgar scores were generally higher for the controls (a set of singleton births) compared to twin births for all the modes of delivery except breech births. Birth weights were also significantly higher for controls compared to twin births although no significant difference occurred between the twins. Perinatal mortality rates were generally higher for twin 2 compared to twin 1, and for the twins compared to controls irrespective of mode of delivery. Better outcome could not be ascribed to any particular mode of delivery in twin births and would depend on the judgement and expertise of the labour attendant.
对尼日利亚一家城郊医院158例双胎分娩的分娩方式及结局进行了回顾。仅在头位分娩中，双胞胎1的1分钟阿氏评分显著高于双胞胎2。在不同分娩方式中，双胞胎5分钟时的阿氏评分无显著差异。除臀位分娩外，在所有分娩方式中，对照组（一组单胎分娩）的阿氏评分通常高于双胎分娩。与双胎分娩相比，对照组的出生体重也显著更高，尽管双胞胎之间无显著差异。无论分娩方式如何，双胞胎2的围产期死亡率通常高于双胞胎1，且双胞胎的围产期死亡率高于对照组。双胎分娩中，无法将更好的结局归因于任何特定的分娩方式，这将取决于分娩护理人员的判断和专业知识。
