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ORIGINAL ARTICLE
Year : 2018  |  Volume : 7  |  Issue : 4  |  Page : 208-212

Multiple gestations and its outcome in a special care baby unit: Our experience in a resource-limited setting


1 Department of Paediatrics, Aminu Kano Teaching Hospital, Bayero University Kano, Kano, Nigeria
2 Department of Paediatrics, Federal Medical Centre, Birnin Kebbi, Nigeria

Correspondence Address:
Dr. Ibrahim Aliyu
Department of Paediatrics, Aminu Kano Teaching Hospital, Bayero University Kano, Kano
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcn.JCN_92_17

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Introduction: multiple gestations occur worldwide; and it may be associated with complications such as prematurity and low birth weight, some warranting admission. Therefore, this study seeks to determine the pattern of illnesses seen among multiple gestations admitted to our special care baby unit and their outcome. Materials and Methods: This was a retrospective review of admissions of multiple gestations. Results: There were 111 cases of multiple gestation-related admission. There were 46 sets of twins, six sets of triplet, and a single second twin consisting of 51 (45.9%) males and 61 (54.1%) females. Most of the cases presented within the 1st day of life. Majority of the cases were <2.5 kg (76.6%). Varied severity of isolated low birth weight was the most common indication for admission followed by sepsis with low birth weight; however, most of the cases were discharged and 18 deaths were recorded. The deaths and signing against medical advice were recorded in those with low birth weight; also those with sepsis with low birth weight, while all the cases in the observation group, those with birth asphyxia, and those in the miscellaneous were successfully discharged. Conclusion: Managing multiple gestations is still challenging in a resource-limited setting. There was more twinning than higher-order multiple gestation in this study; expectedly low birth weight was common among the cases, but the majority were successfully discharged home.


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