An Epidemiological and Socio-cultural Exploration of Dizygotic Twin Pregnancies in Bangladesh

Abstract

Background: Dizygotic twin pregnancies present unique challenges and implications for maternal and neonatal health. In Bangladesh, with its rapidly changing socio-economic landscape and rich cultural traditions, there is a need to explore the prevalence and outcomes of such pregnancies. Objective: This study aimed to determine the prevalence of dizygotic twin pregnancies in Bangladesh, evaluate associated maternal and neonatal health outcomes, and understand the influence of socio-cultural, economic, and healthcare-related factors. Methods: A cross-sectional study involving 384 participants with dizygotic twin pregnancies was conducted across urban and rural regions of Bangladesh. Data were collected using structured questionnaires, in-depth interviews, and focus group discussions. Chi-square tests were employed to ascertain associations. Results: The prevalence of dizygotic twin pregnancies was 1.7%, with a slightly higher rate in urban (1.9%) compared to rural areas (1.5%). Socio-cultural practices positively influenced maternal outcomes (p=0.021), while higher household income was associated with reduced neonatal complications (p=0.011). Regular antenatal care visits significantly reduced maternal complications (p=0.0038). Conclusion: Dizygotic twin pregnancies in Bangladesh are influenced by a blend of genetic, socio-cultural, and economic factors. The importance of consistent antenatal care and socio-economic stability in ensuring optimal pregnancy outcomes was emphasized. This study underscores the need for tailored healthcare strategies and community engagement to support maternal and neonatal health in the context of twin pregnancies.