A multiple
pregnancy means that a woman has two or more babies in her
uterus. These babies can come from the same egg or from different eggs. The
occurrence and frequency of twinning, however, varies across human
populations. The maternal age, socio-environmental factors, increase in
the use of contraceptives, the race of human population, increase in the
spontaneous abortion rate, and seasonal variations are among the
factors that could influence twinning rate.
Information on twinning
rates in southwest Nigeria is limited.
Delivery Rate :
A frequency of twin births of 46.5 per 1000 deliveries and 46.2 per 1000
deliveries was recorded for Ilesa and Ile-Ife respectively.
The incidence of twinning among the races of the world has been
extensively studied. Worldwide changes have occurred in the pattern of
twinning rates in recent decades. The highest twinning rate is observed
to occur among the Negroids, while the lowest occurred among the
Mongoloid population. In Nigeria, the incidence of twinning was estimated to be 45‰.
Bulmer
recorded 44.9‰ incidence of twinning in Ibadan, while 48.3‰ and 57.2‰
incidences of twin births were respectively obtained for Igbo-Ora and
Ibadan between 1967 and 1969.
On an average, the highest record of twinning is among the Yorubas of
southwest Nigeria, with approximately 50-53 twin births per 1000
deliveries.These rates were suggested then as the highest in the world. Between
1985 and 1989, 68.1‰ twin births were recorded for Igbo-Ora, while 37.2‰
and 26.9‰ twin births were recorded for Ibadan and Lagos respectively.
Studies determine much of a
particular trait is attributable to genetic predisposition. Apart from genetic predisposition, a factor that may have also been
influencing high twinning rate in southwest Nigeria is diet. There is a general belief that the Yoruba's predisposition to high twinning rate is due to consumption of yam (Discorea sp.), which is believed to contain a natural hormone phytoestrogen, which may stimulate multiple ovulation.
Indigene of the studied areas are known to have preference for food
prepared in different forms from yam. Maternal history of twinning
(though not considered in this study) might also have contributed to the
high incidence of twinning observed in this study and previous studies
from southwest Nigeria. This is because the probability of a subsequent
twin pregnancy is increased fourfold in mothers of twins, and the risk
of having dizygotic (DZ) twins is roughly double for a woman whose
mother or sister has DZ twins.
Links:
http://www.webmd.boots.com/pregnancy/guide/twin-pregnancy
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3150208/
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840794/
http://www.drugs.com/mtm/wild-yam.html
http://www.bbc.co.uk/worldservice/people/highlights/010607_twins.shtml
http://www.randafricanart.com/Yoruba_Customs_and_Beliefs_Pertaining_to_Twins.html
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