Comparative Study of Early Neonatal Complications between the First and Second Twin during Twin Vaginal Deliveries at the Yaounde Gynaeco-Obstetric and Pediatric Hospital, and the Yaounde Central Hospital
Introduction: Twin birth is the expulsion of two fetuses and their appendages out of
the woman’s reproductive tract. It’s a high-risk delivery because of the high
frequency of maternal, fetal and neonatal complications. Few studies exist on
the comparative prognoses of twins. Our objective was to compare early neonatal
complications in first and second twins. Methods: We carried out a
cross-sectional prospective study from January 2 to April 30, 2020 (4 months)
at the Yaounde Gynaeco-Obstetric and Pediatric Hospital, and the Yaounde
Central Hospital. Data collected were analyzed using IBM SPSS version 23.
Descriptive statistics were done in frequencies and percentages, means and
standard deviations. Paired-sample student's t-test were used to compare means.
McNemar’s Chi-square and Ficher’s exact tests were used to compare proportions.
Statistical significance was set at p-values less than 0.05. Results: Of
a total of 2183 deliveries during the study period, 43 (1.96%) were twin
vaginal deliveries. Among the 43 women, 41 consented to have their newborns
participate in the study. Overall, APGAR scores were better for the first twins
at the first (p = 0.004) and fifth (p = 0.031) minutes than for the second
twins. Although both twins had complications and that there were 4 neonatal
deads of the second twin, there was no relationship between studied
complications and the rank of the twin (p = 0.310). Conclusion: As the
APGAR score seemed to be better for first twins, clinicians should pay more
attention during twin births, in order to improve the prognosis of the second
twin.
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