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Perinatal and maternal mortality associated with retained second twins
1Department of Obstetrics and Gynaecology, Ghana Medical School, Accra.
Summary
Retained second twins face high perinatal mortality (38.5%). Cesarean delivery is often necessary. Specialized units can significantly reduce twin delivery risks.
Area of Science:
- Obstetrics
- Perinatology
- Maternal-Fetal Medicine
Background:
- Retained second twins present unique delivery challenges.
- High perinatal mortality rates are associated with second twin retention.
Purpose of the Study:
- Identify factors influencing delivery mode and mortality in retained second twins.
- Develop recommendations to improve outcomes for retained second twins.
Main Methods:
- Retrospective review of medical records for retained second twins (≥28 weeks gestation).
- Analysis of delivery modes, perinatal mortality, and maternal mortality.
Main Results:
- Cesarean section was performed in 50% of cases, primarily due to abnormal lie.
- Perinatal mortality for retained second twins was 38.5%, significantly higher than for first twins (12.3%).
- One maternal mortality occurred due to anaphylaxis from morphine.
Conclusions:
- Twin deliveries require facilities for cesarean and assisted delivery.
- Specialized care units can substantially decrease the high perinatal mortality associated with retained second twins.