Higher order multiple births in Nigeria: Experiences, challenges and neonatal outcomes in a private health facility.

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dc.contributor.authorOseni, O.
dc.contributor.authorAkintan, P.E
dc.contributor.authorAligwekwe, P
dc.contributor.authorChukwukelu, B
dc.contributor.authorFashola, O
dc.contributor.authorOgunmokun, A
dc.contributor.authorOdukoya, O
dc.contributor.authorEzenwa, B.
dc.date.accessioned2019-11-04T14:15:25Z
dc.date.available2019-11-04T14:15:25Z
dc.date.issued2017
dc.descriptionStaff publicationsen_US
dc.description.abstractObjectives: The aim of this study is to describe the experience and outcome of higher order multiple (HOM) births in a private tertiary health facility in Nigeria. Materials and Methods: This was a retrospective review of records of HOM over 3 years in a private tertiary health facility in Nigeria. Relevant data on HOM births were extracted from both the patients’ case notes, admission registers and maternity ward and delivery records of the hospital using a predesigned pro forma. Data were analyzed using Statistical Package for Social Sciences Version 22.0. Results: The prevalence of HOM births was 0.72% of 1950 births over the 3 years study period; while for triplets, quadruplets, and quintuplets were 0.56%, 0.1% and 0.05%, respectively. The mean gestational age was 32 ± 3 weeks, and all except three sets of triplets were by Assisted Reproductive Technology (ART). Respiratory distress syndrome, neonatal jaundice, and neonatal sepsis accounted for more than 80% of the neonatal complications noted in HOM births. However, there was no significant difference between neonatal survival of HOM as compared to twin deliveries, P = 0.08. Conclusion: HOM is becoming increasingly common in Nigeria. The strongest risk factor is ART, and neonatal complications are common reinforcing the need to streamline ART protocols in Nigeria.en_US
dc.identifier.citationEzenwa B, Oseni O, Akintan P, Aligwekwe P, Chukwukelu B, Fashola O, et al. Higher order multiple births in Nigeria: Experiences, challenges and neonatal outcomes in a private health facility. Niger J Clin Pract 2017;20:1439-43.en_US
dc.identifier.otherDOI: 10.4103/njcp.njcp_71_17
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/6730
dc.language.isoenen_US
dc.publisherNigerian Journal of Clinical Practiceen_US
dc.subjectHigher order multiple birthsen_US
dc.subjectNeonatal outcomeen_US
dc.subjectNigeriaen_US
dc.subjectPrivate health facilityen_US
dc.subjectResearch Subject Categories::MEDICINEen_US
dc.titleHigher order multiple births in Nigeria: Experiences, challenges and neonatal outcomes in a private health facility.en_US
dc.typeArticleen_US
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