The contribution of multiple pregnancy to perinatal mortality in Benin City

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Abstract
The contribution of multiple pregnancy to overall perinatal mortality in the three major hospitals in Benin City has been reviewed. Although the incidence is 2–6 per cent of all deliveries, it accounts for 14.3 per cent of the overall perinatal mortality. The factors of importance in relation to perinatal loss included preterm delivery, low birth weight, birth order, mal-presentation, mode of delivery and failure to diagnose multiple pregnancy before labour. Bed rest is advocated. Health education is important in encouraging parturients to avail themselves of available antenatal facilities. A high index of suspicion for multiple pregnancy and referral of such patients to major units equipped to manage such high risk pregnancies will reduce fetal wastage.

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