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Triplets with Conjoined Twins: A Nigerian Midwife's Case Report

Authors

  • Rachel O. Iroku CMN, MSN,

    Corresponding author
      Department of Nursing Sciences, University of Nigeria, Enugu Campus, Anambra State, Nigeria.
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    • Rachel Iroku is a lecturer in the Department of Nursing Sciences at the University of Nigeria, Enugu Campus, Nigeria.

  • Mary Anah

    MidwifeSearch for more papers by this author
    • Mary Anah is the proprietor of the Lucy Udo Maternity Home where the birth described in this article took place. She also carried out the deliuery. Ms. Anah has practiced rural midwifery in Nigeria for 35 years.


Department of Nursing Sciences, University of Nigeria, Enugu Campus, Anambra State, Nigeria.

ABSTRACT

This article is a case report of a spontaneous vaginal delivery of live triplets, which included conjoined twins joined at the buttocks. The birth was conducted by an experienced midwife in a rural maternity in the Anambra State of Nigeria. The case illustrates the difficulties faced by rural Nigerian midwives when patients need referral to larger hospitals. There is a scarcity of diagnostic equipment, medical back-up, and the transportation that could facilitate an effective referral network. In addition, patients are reluctant to leave their home villages to give birth in a far-away hospital. For these reasons, many difficult births take place in rural maternity centers. The successful outcome of this high-risk delivery demonstrates the skill of the local Nigerian midwife, who is frequently faced with unusual complications of childbirth, ones that she must resolve herself.

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