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The contribution of multiple pregnancy to perinatal mortality in Benin City.

The contribution of multiple pregnancy to overall perinatal mortality in the 3 major hospitals in Benin City has been reviewed. Although the incidence is 2.6% of all deliveries, it accounts for 14.3% of the overall perinatal mortality. The factors of importance in relation to perinatal loss included preterm delivery, low birthweight, birth order, malpresentation, mode of delivery, and failure to diagnose multiple pregnancy before labor. Bedrest 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.