OBJECTIVE To determine the prevalence and clinical significance of twin births in the Comoros Islands. DESIGN Combined retrospective and non-randomised prospective study. SETTING Hospital El-Ma'aru Moroni Grand-Comoros and Center Medico-Chirurgical Domoni-Anjouan. SUBJECTS One hundred and nine patients with twin deliveries. RESULTS During the period of study, there were 4370 deliveries,...

BACKGROUND The mechanisms behind increased fecal calprotectin (FC) in healthy relatives of patients with inflammatory bowel disease (IBD) are unknown. Our aims were to explore if there is a subclinical inflammation with increased neutrophil activity in healthy twin siblings in discordant twin pairs with IBD and to assess the influence of genetics in this context. METHODS Nuclear factor kappa ...

p a twin pregnancy with a complete hydatidiform mole with a coexistent foetus (chmf) is a rare condition that typically results in poor pregnancy outcomes. for patients with refractory vaginal bleeding, termination of pregnancy is more appropriate. however, unified methods for termination remain to be explored. in the present study, we reviewed the termination measures in four cases of twin pre...

Monochorionic (MC) twin pregnancies are associated with significantly higher morbidity and mortality rates than dichorionic twins. Approximately 50% of MC twin pregnancies develop complications arising from the shared placenta and associated vascular connections. Severe twin-to-twin syndrome (TTTS) is reported to account for approximately 20% of these complications. Inter-twin vascular connecti...

The augmented multiple regression model for the analysis of data from selected twin pairs was extended to facilitate analyses of data from twin pairs and nontwin siblings. Fitting this extended model to data from both selected twin pairs and siblings yields direct estimates of heritability (h2) and the difference betwee...

A monochorionic twin pregnancy is one in which both babies are dependent on a single, shared placenta. Around one-third of twin pregnancies in the UK have monochorionic placentas. Monochorionic placentation can also occur in higher-order multiples. There has been a recent increase in all types of multiple pregnancies with the increasing use of assisted reproductive techniques. Monochorionic (MC...

BACKGROUND The presumed ascending route of group B beta-hemolytic streptococcus (GBS) infection from the colonized maternal genital tract is well accepted. This case report proposes a hematogenous, selective infection of one unruptured amniotic sac over the other ruptured amniotic sac in a twin gestation in a patient with known GBS vaginal colonization. CASE This is a case report of GBS sepsi...

OBJECTIVE To evaluate the influence of gestational diabetes mellitus on weight discrepancy in twin pregnancies. METHODS 200 twin pregnancies were included in the study. 157 nondiabetic pregnant women with twin gestations and 43 twin pregnancies with gestational diabetes mellitus (GDM) with viable fetuses born after 24 weeks of gestation were enrolled. Influence of maternal age, body-mass-inde...

Parasitic twins, a specific type of conjoined twins [6], occur when one twin ceases development during gestation [7] and becomes vestigial to the fully formed dominant twin, called the autositic twin. The underdeveloped twin is called parasitic because it is only partially formed, is not functional, or is wholly dependent on the autositic twin. In most cases, the phenotype of parasitic twins is...