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Objective: To determine the prevalence & characteristics of mothers with multiple pregnancies and associated labour complications at Muhimbili National HospitalDesign: Retrospective Case control Study Subjects/Materials: A hospital based retrospective study. All women who delivered (live and still births) at Muhimbili National Hospital between January 2005 and June 2005 only. The required information was obtained from the record books of the Department of Obstetrics & Gynaecology. Results: Revealed incidence of multiple pregnancies was 30.1 per 1000 deliveries and a significant difference between the gestational ages at delivery between multiple pregnancies andcontrols. The twin pregnancies approximately 3 times more likely to deliver prematurely (odd ratio 3.90 {1.08<OR<15.36). There was no particular characteristic identified by this study that would put particular women at risk of having a multiplepregnancy. Conclusion/recommendations: Multiple pregnancies continue to carry a high risk and women with multiple pregnancies should be offered extra care during the antenatal period with thespecific objectives of early diagnosis and timely treatment of complications.

the dar es salaam medical students journal

Prevalence &amp; characteristics of mothers with multiple pregnancies and associated labour complications at Muhimbili National Hospital, September 2005