Loading…

Prevalence and adverse outcomes of twin pregnancy in Eastern Africa: a systematic review and meta-analysis

Multiple pregnancies are much more common today than they were in the past. Twin pregnancies occur in about 4% of pregnancies in Africa. Adverse pregnancy outcome was more common in twin pregnancy than in singleton pregnancy. There is no pooled evidence on the burden and adverse pregnancy outcome of...

Full description

Saved in:
Bibliographic Details
Published in:BMC pregnancy and childbirth 2024-02, Vol.24 (1), p.169-169, Article 169
Main Authors: Getachew, Tamirat, Negash, Abraham, Debella, Adera, Yadeta, Elias, Lemi, Magersa, Balis, Bikila, Balcha, Tegenu, Bekele, Habtamu, Abdurke, Mohammed, Alemu, Addisu, Shiferaw, Kasiye, Eyeberu, Addis
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c459t-df478e1fccca3b83a9f668e2500bf3eaa8a2187d775b8116a71f9901172a1f5f3
container_end_page 169
container_issue 1
container_start_page 169
container_title BMC pregnancy and childbirth
container_volume 24
creator Getachew, Tamirat
Negash, Abraham
Debella, Adera
Yadeta, Elias
Lemi, Magersa
Balis, Bikila
Balcha, Tegenu
Bekele, Habtamu
Abdurke, Mohammed
Alemu, Addisu
Shiferaw, Kasiye
Eyeberu, Addis
description Multiple pregnancies are much more common today than they were in the past. Twin pregnancies occur in about 4% of pregnancies in Africa. Adverse pregnancy outcome was more common in twin pregnancy than in singleton pregnancy. There is no pooled evidence on the burden and adverse pregnancy outcome of twin pregnancy in eastern Africa. Thus, this systematic review and meta-analysis were conducted to assess the prevalence and adverse pregnancy outcomes of twin pregnancies. This systematic review and meta-analysis covers published and unpublished studies searched from different databases (PubMed, CINAHL (EBSCO), EMBASE, DOAJ, Web of Sciences, MEDLINE, Cochrane Library, SCOPUS, Google Scholar, and Google search). Finally, 34 studies were included in this systematic review and meta-analysis. JBI checklist was used to assess the quality of included papers. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used. Data synthesis and statistical analysis were conducted using STATA Version 14 software. Heterogeneity and publication bias were assessed. A forest plot was used to present the pooled prevalence using the random effect model. The prevalence of twin pregnancy in eastern Africa was 3% [95% CI: 2, 3]. The adverse pregnancy outcomes like neonatal intensive care unit admission (78%), low birth weight (44%), low APGAR score (33%), prematurity (32%), stillbirth (30%), neonatal mortality (12%) and maternal complications like hypertensive disorder of pregnancy (25%), postpartum hemorrhage (7%), Cesarean section (37%), premature rupture of membrane (12%) and maternal mortality are more common among twin pregnancy than singleton pregnancy. One in every 33 children born a twin in east Africa; admission to neonatal intensive care unit, low birth weight, low APGAR score, prematurity, stillbirth, neonatal mortality and maternal complications are its associated adverse birth outcomes. Since twin pregnancy is a high-risk pregnancy, special care is needed during pregnancy, labor and delivery to reduce adverse pregnancy outcomes.
doi_str_mv 10.1186/s12884-024-06326-0
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_105bc8a17875469bbec06b2fd4f6ee2e</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_105bc8a17875469bbec06b2fd4f6ee2e</doaj_id><sourcerecordid>2934269705</sourcerecordid><originalsourceid>FETCH-LOGICAL-c459t-df478e1fccca3b83a9f668e2500bf3eaa8a2187d775b8116a71f9901172a1f5f3</originalsourceid><addsrcrecordid>eNpdkU1r3DAQhkVpaT7aP9BDEfTSixt9S-4thLQJBNJDchZjeRS82NZWshP231fZTUPpQUgannkY6SXkE2ffOHfmrHDhnGqYqMtIYRr2hhxzZXkjZCvf_nM-IielbBjj1mn2nhxJp4RSThyTza-MjzDiHJDC3FPoHzEXpGldQpqw0BTp8jTMdJvxYYY57Gi9XEJZMM_0POYhwHcKtOxqZYJlCLQKB3za2yZcoIEZxl0ZygfyLsJY8OPLfkruf1zeXVw1N7c_ry_Ob5qgdLs0fVTWIY8hBJCdk9BGYxwKzVgXJQI4ENzZ3lrdOc4NWB7blnFuBfCoozwl1wdvn2Djt3mYIO98gsHvCyk_eMh10BE9Z7oLDuq3WK1M23UYmOlE7FU0iAKr6-vBtc3p94pl8dNQAo4jzJjW4kUrlTCtZbqiX_5DN2nN9e3PlDZOO8ZkpcSBCjmVkjG-DsiZf07VH1L1NVW_T9Wz2vT5Rb12E_avLX9jlH8AWbadWQ</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2956858003</pqid></control><display><type>article</type><title>Prevalence and adverse outcomes of twin pregnancy in Eastern Africa: a systematic review and meta-analysis</title><source>PubMed Central</source><source>ProQuest Publicly Available Content database</source><creator>Getachew, Tamirat ; Negash, Abraham ; Debella, Adera ; Yadeta, Elias ; Lemi, Magersa ; Balis, Bikila ; Balcha, Tegenu ; Bekele, Habtamu ; Abdurke, Mohammed ; Alemu, Addisu ; Shiferaw, Kasiye ; Eyeberu, Addis</creator><creatorcontrib>Getachew, Tamirat ; Negash, Abraham ; Debella, Adera ; Yadeta, Elias ; Lemi, Magersa ; Balis, Bikila ; Balcha, Tegenu ; Bekele, Habtamu ; Abdurke, Mohammed ; Alemu, Addisu ; Shiferaw, Kasiye ; Eyeberu, Addis</creatorcontrib><description>Multiple pregnancies are much more common today than they were in the past. Twin pregnancies occur in about 4% of pregnancies in Africa. Adverse pregnancy outcome was more common in twin pregnancy than in singleton pregnancy. There is no pooled evidence on the burden and adverse pregnancy outcome of twin pregnancy in eastern Africa. Thus, this systematic review and meta-analysis were conducted to assess the prevalence and adverse pregnancy outcomes of twin pregnancies. This systematic review and meta-analysis covers published and unpublished studies searched from different databases (PubMed, CINAHL (EBSCO), EMBASE, DOAJ, Web of Sciences, MEDLINE, Cochrane Library, SCOPUS, Google Scholar, and Google search). Finally, 34 studies were included in this systematic review and meta-analysis. JBI checklist was used to assess the quality of included papers. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used. Data synthesis and statistical analysis were conducted using STATA Version 14 software. Heterogeneity and publication bias were assessed. A forest plot was used to present the pooled prevalence using the random effect model. The prevalence of twin pregnancy in eastern Africa was 3% [95% CI: 2, 3]. The adverse pregnancy outcomes like neonatal intensive care unit admission (78%), low birth weight (44%), low APGAR score (33%), prematurity (32%), stillbirth (30%), neonatal mortality (12%) and maternal complications like hypertensive disorder of pregnancy (25%), postpartum hemorrhage (7%), Cesarean section (37%), premature rupture of membrane (12%) and maternal mortality are more common among twin pregnancy than singleton pregnancy. One in every 33 children born a twin in east Africa; admission to neonatal intensive care unit, low birth weight, low APGAR score, prematurity, stillbirth, neonatal mortality and maternal complications are its associated adverse birth outcomes. Since twin pregnancy is a high-risk pregnancy, special care is needed during pregnancy, labor and delivery to reduce adverse pregnancy outcomes.</description><identifier>ISSN: 1471-2393</identifier><identifier>EISSN: 1471-2393</identifier><identifier>DOI: 10.1186/s12884-024-06326-0</identifier><identifier>PMID: 38424482</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Africa, Eastern - epidemiology ; Apgar score ; Bias ; Cesarean Section ; Citation management software ; Content analysis ; Female ; Humans ; Infant, Newborn ; Infertility ; Maternal mortality ; Medical Subject Headings-MeSH ; Meta-analysis ; Morbidity ; Multiple pregnancies ; Observational studies ; Pregnancy ; Pregnancy outcome ; Pregnancy Outcome - epidemiology ; Pregnancy, Twin ; Premature birth ; Premature Birth - epidemiology ; Prevalence ; Reproductive technologies ; Statistical analysis ; Stillbirth ; Stillbirth - epidemiology ; Systematic review ; Twin pregnancy ; Twins</subject><ispartof>BMC pregnancy and childbirth, 2024-02, Vol.24 (1), p.169-169, Article 169</ispartof><rights>2024. The Author(s).</rights><rights>2024. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c459t-df478e1fccca3b83a9f668e2500bf3eaa8a2187d775b8116a71f9901172a1f5f3</cites><orcidid>0000-0001-9406-1979</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2956858003?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,25753,27924,27925,37012,37013,44590</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38424482$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Getachew, Tamirat</creatorcontrib><creatorcontrib>Negash, Abraham</creatorcontrib><creatorcontrib>Debella, Adera</creatorcontrib><creatorcontrib>Yadeta, Elias</creatorcontrib><creatorcontrib>Lemi, Magersa</creatorcontrib><creatorcontrib>Balis, Bikila</creatorcontrib><creatorcontrib>Balcha, Tegenu</creatorcontrib><creatorcontrib>Bekele, Habtamu</creatorcontrib><creatorcontrib>Abdurke, Mohammed</creatorcontrib><creatorcontrib>Alemu, Addisu</creatorcontrib><creatorcontrib>Shiferaw, Kasiye</creatorcontrib><creatorcontrib>Eyeberu, Addis</creatorcontrib><title>Prevalence and adverse outcomes of twin pregnancy in Eastern Africa: a systematic review and meta-analysis</title><title>BMC pregnancy and childbirth</title><addtitle>BMC Pregnancy Childbirth</addtitle><description>Multiple pregnancies are much more common today than they were in the past. Twin pregnancies occur in about 4% of pregnancies in Africa. Adverse pregnancy outcome was more common in twin pregnancy than in singleton pregnancy. There is no pooled evidence on the burden and adverse pregnancy outcome of twin pregnancy in eastern Africa. Thus, this systematic review and meta-analysis were conducted to assess the prevalence and adverse pregnancy outcomes of twin pregnancies. This systematic review and meta-analysis covers published and unpublished studies searched from different databases (PubMed, CINAHL (EBSCO), EMBASE, DOAJ, Web of Sciences, MEDLINE, Cochrane Library, SCOPUS, Google Scholar, and Google search). Finally, 34 studies were included in this systematic review and meta-analysis. JBI checklist was used to assess the quality of included papers. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used. Data synthesis and statistical analysis were conducted using STATA Version 14 software. Heterogeneity and publication bias were assessed. A forest plot was used to present the pooled prevalence using the random effect model. The prevalence of twin pregnancy in eastern Africa was 3% [95% CI: 2, 3]. The adverse pregnancy outcomes like neonatal intensive care unit admission (78%), low birth weight (44%), low APGAR score (33%), prematurity (32%), stillbirth (30%), neonatal mortality (12%) and maternal complications like hypertensive disorder of pregnancy (25%), postpartum hemorrhage (7%), Cesarean section (37%), premature rupture of membrane (12%) and maternal mortality are more common among twin pregnancy than singleton pregnancy. One in every 33 children born a twin in east Africa; admission to neonatal intensive care unit, low birth weight, low APGAR score, prematurity, stillbirth, neonatal mortality and maternal complications are its associated adverse birth outcomes. Since twin pregnancy is a high-risk pregnancy, special care is needed during pregnancy, labor and delivery to reduce adverse pregnancy outcomes.</description><subject>Africa, Eastern - epidemiology</subject><subject>Apgar score</subject><subject>Bias</subject><subject>Cesarean Section</subject><subject>Citation management software</subject><subject>Content analysis</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infertility</subject><subject>Maternal mortality</subject><subject>Medical Subject Headings-MeSH</subject><subject>Meta-analysis</subject><subject>Morbidity</subject><subject>Multiple pregnancies</subject><subject>Observational studies</subject><subject>Pregnancy</subject><subject>Pregnancy outcome</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Pregnancy, Twin</subject><subject>Premature birth</subject><subject>Premature Birth - epidemiology</subject><subject>Prevalence</subject><subject>Reproductive technologies</subject><subject>Statistical analysis</subject><subject>Stillbirth</subject><subject>Stillbirth - epidemiology</subject><subject>Systematic review</subject><subject>Twin pregnancy</subject><subject>Twins</subject><issn>1471-2393</issn><issn>1471-2393</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdkU1r3DAQhkVpaT7aP9BDEfTSixt9S-4thLQJBNJDchZjeRS82NZWshP231fZTUPpQUgannkY6SXkE2ffOHfmrHDhnGqYqMtIYRr2hhxzZXkjZCvf_nM-IielbBjj1mn2nhxJp4RSThyTza-MjzDiHJDC3FPoHzEXpGldQpqw0BTp8jTMdJvxYYY57Gi9XEJZMM_0POYhwHcKtOxqZYJlCLQKB3za2yZcoIEZxl0ZygfyLsJY8OPLfkruf1zeXVw1N7c_ry_Ob5qgdLs0fVTWIY8hBJCdk9BGYxwKzVgXJQI4ENzZ3lrdOc4NWB7blnFuBfCoozwl1wdvn2Djt3mYIO98gsHvCyk_eMh10BE9Z7oLDuq3WK1M23UYmOlE7FU0iAKr6-vBtc3p94pl8dNQAo4jzJjW4kUrlTCtZbqiX_5DN2nN9e3PlDZOO8ZkpcSBCjmVkjG-DsiZf07VH1L1NVW_T9Wz2vT5Rb12E_avLX9jlH8AWbadWQ</recordid><startdate>20240229</startdate><enddate>20240229</enddate><creator>Getachew, Tamirat</creator><creator>Negash, Abraham</creator><creator>Debella, Adera</creator><creator>Yadeta, Elias</creator><creator>Lemi, Magersa</creator><creator>Balis, Bikila</creator><creator>Balcha, Tegenu</creator><creator>Bekele, Habtamu</creator><creator>Abdurke, Mohammed</creator><creator>Alemu, Addisu</creator><creator>Shiferaw, Kasiye</creator><creator>Eyeberu, Addis</creator><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-9406-1979</orcidid></search><sort><creationdate>20240229</creationdate><title>Prevalence and adverse outcomes of twin pregnancy in Eastern Africa: a systematic review and meta-analysis</title><author>Getachew, Tamirat ; Negash, Abraham ; Debella, Adera ; Yadeta, Elias ; Lemi, Magersa ; Balis, Bikila ; Balcha, Tegenu ; Bekele, Habtamu ; Abdurke, Mohammed ; Alemu, Addisu ; Shiferaw, Kasiye ; Eyeberu, Addis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-df478e1fccca3b83a9f668e2500bf3eaa8a2187d775b8116a71f9901172a1f5f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Africa, Eastern - epidemiology</topic><topic>Apgar score</topic><topic>Bias</topic><topic>Cesarean Section</topic><topic>Citation management software</topic><topic>Content analysis</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infertility</topic><topic>Maternal mortality</topic><topic>Medical Subject Headings-MeSH</topic><topic>Meta-analysis</topic><topic>Morbidity</topic><topic>Multiple pregnancies</topic><topic>Observational studies</topic><topic>Pregnancy</topic><topic>Pregnancy outcome</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Pregnancy, Twin</topic><topic>Premature birth</topic><topic>Premature Birth - epidemiology</topic><topic>Prevalence</topic><topic>Reproductive technologies</topic><topic>Statistical analysis</topic><topic>Stillbirth</topic><topic>Stillbirth - epidemiology</topic><topic>Systematic review</topic><topic>Twin pregnancy</topic><topic>Twins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Getachew, Tamirat</creatorcontrib><creatorcontrib>Negash, Abraham</creatorcontrib><creatorcontrib>Debella, Adera</creatorcontrib><creatorcontrib>Yadeta, Elias</creatorcontrib><creatorcontrib>Lemi, Magersa</creatorcontrib><creatorcontrib>Balis, Bikila</creatorcontrib><creatorcontrib>Balcha, Tegenu</creatorcontrib><creatorcontrib>Bekele, Habtamu</creatorcontrib><creatorcontrib>Abdurke, Mohammed</creatorcontrib><creatorcontrib>Alemu, Addisu</creatorcontrib><creatorcontrib>Shiferaw, Kasiye</creatorcontrib><creatorcontrib>Eyeberu, Addis</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Family Health</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest Publicly Available Content database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>Directory of Open Access Journals</collection><jtitle>BMC pregnancy and childbirth</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Getachew, Tamirat</au><au>Negash, Abraham</au><au>Debella, Adera</au><au>Yadeta, Elias</au><au>Lemi, Magersa</au><au>Balis, Bikila</au><au>Balcha, Tegenu</au><au>Bekele, Habtamu</au><au>Abdurke, Mohammed</au><au>Alemu, Addisu</au><au>Shiferaw, Kasiye</au><au>Eyeberu, Addis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and adverse outcomes of twin pregnancy in Eastern Africa: a systematic review and meta-analysis</atitle><jtitle>BMC pregnancy and childbirth</jtitle><addtitle>BMC Pregnancy Childbirth</addtitle><date>2024-02-29</date><risdate>2024</risdate><volume>24</volume><issue>1</issue><spage>169</spage><epage>169</epage><pages>169-169</pages><artnum>169</artnum><issn>1471-2393</issn><eissn>1471-2393</eissn><abstract>Multiple pregnancies are much more common today than they were in the past. Twin pregnancies occur in about 4% of pregnancies in Africa. Adverse pregnancy outcome was more common in twin pregnancy than in singleton pregnancy. There is no pooled evidence on the burden and adverse pregnancy outcome of twin pregnancy in eastern Africa. Thus, this systematic review and meta-analysis were conducted to assess the prevalence and adverse pregnancy outcomes of twin pregnancies. This systematic review and meta-analysis covers published and unpublished studies searched from different databases (PubMed, CINAHL (EBSCO), EMBASE, DOAJ, Web of Sciences, MEDLINE, Cochrane Library, SCOPUS, Google Scholar, and Google search). Finally, 34 studies were included in this systematic review and meta-analysis. JBI checklist was used to assess the quality of included papers. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used. Data synthesis and statistical analysis were conducted using STATA Version 14 software. Heterogeneity and publication bias were assessed. A forest plot was used to present the pooled prevalence using the random effect model. The prevalence of twin pregnancy in eastern Africa was 3% [95% CI: 2, 3]. The adverse pregnancy outcomes like neonatal intensive care unit admission (78%), low birth weight (44%), low APGAR score (33%), prematurity (32%), stillbirth (30%), neonatal mortality (12%) and maternal complications like hypertensive disorder of pregnancy (25%), postpartum hemorrhage (7%), Cesarean section (37%), premature rupture of membrane (12%) and maternal mortality are more common among twin pregnancy than singleton pregnancy. One in every 33 children born a twin in east Africa; admission to neonatal intensive care unit, low birth weight, low APGAR score, prematurity, stillbirth, neonatal mortality and maternal complications are its associated adverse birth outcomes. Since twin pregnancy is a high-risk pregnancy, special care is needed during pregnancy, labor and delivery to reduce adverse pregnancy outcomes.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>38424482</pmid><doi>10.1186/s12884-024-06326-0</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-9406-1979</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1471-2393
ispartof BMC pregnancy and childbirth, 2024-02, Vol.24 (1), p.169-169, Article 169
issn 1471-2393
1471-2393
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_105bc8a17875469bbec06b2fd4f6ee2e
source PubMed Central; ProQuest Publicly Available Content database
subjects Africa, Eastern - epidemiology
Apgar score
Bias
Cesarean Section
Citation management software
Content analysis
Female
Humans
Infant, Newborn
Infertility
Maternal mortality
Medical Subject Headings-MeSH
Meta-analysis
Morbidity
Multiple pregnancies
Observational studies
Pregnancy
Pregnancy outcome
Pregnancy Outcome - epidemiology
Pregnancy, Twin
Premature birth
Premature Birth - epidemiology
Prevalence
Reproductive technologies
Statistical analysis
Stillbirth
Stillbirth - epidemiology
Systematic review
Twin pregnancy
Twins
title Prevalence and adverse outcomes of twin pregnancy in Eastern Africa: a systematic review and meta-analysis
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T17%3A37%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prevalence%20and%20adverse%20outcomes%20of%20twin%20pregnancy%20in%20Eastern%20Africa:%20a%20systematic%20review%20and%20meta-analysis&rft.jtitle=BMC%20pregnancy%20and%20childbirth&rft.au=Getachew,%20Tamirat&rft.date=2024-02-29&rft.volume=24&rft.issue=1&rft.spage=169&rft.epage=169&rft.pages=169-169&rft.artnum=169&rft.issn=1471-2393&rft.eissn=1471-2393&rft_id=info:doi/10.1186/s12884-024-06326-0&rft_dat=%3Cproquest_doaj_%3E2934269705%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c459t-df478e1fccca3b83a9f668e2500bf3eaa8a2187d775b8116a71f9901172a1f5f3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2956858003&rft_id=info:pmid/38424482&rfr_iscdi=true