Feto-Maternal Outcomes and Frequency of Singletons and Multiple Births: A Retrospective Study in the University of Uyo Teaching Hospital
M. Kooffreh, A. Umoyen, N. Akpan, and I. Etim (1-13)
Abstract
Pregnancy continues to be a focus of interest globally due to increasing frequency of complications. The aim of this study was to determine the frequency of singletons, multiple births, and feto-maternal complications. Retrospective review of delivery at the University of Uyo Teaching Hospital from 2011 to 2018 was done. The frequency of singletons and multiple births was 97.8% and 2.2%, respectively. The mean maternal age for singleton and multiple birth mothers was 38.4 ± 1.8 and 35.7 ± 1.6 years, respectively. The mean parity was 3.9 ± 1.6 and 3.2 ± 1.4 for multiple births and singletons, respectively, while booking status was 78.6% (booked) and 17.3% (unbooked) cases of women who delivered singletons, and 6.1% and 4.2% of mothers were HIV-positive reactive individuals. The most common mode of delivery was spontaneous vaginal delivery for singletons (60.4%) and twins (54.2%), followed by caesarean section (33.4%) in singletons. The most common maternal complication was anemia, hypertension, etc., for singletons and multiple births. HIV-reactive status (6.1%), stillbirth (5.6%), and perinatal death are some of the common obstetric complications in singletons. The frequency of singletons and multiple births and their attendant perinatal complications/mortality was high in this study center. Pregnant women should be encouraged to book early and attain antenatal clinics regularly.