/ 19 August 2009

Tunisia to investigate reports of 12-baby pregnancy

Reports in the local media about a Tunisian woman pregnant with 12 babies have caught the attention of Tunisian health authorities.

The woman was reportedly in her ninth and final month of pregnancy and was expected to have a normal vaginal delivery of the 12 babies, according to the newspapers Alchourouk and Assabah.

Confirmation was not forthcoming from the family or her lawyer, but the Tunisian Health Ministry intended to send an official delegation to the woman to investigate the report, a source close to the Tunisian government told the German Press Agency, dpa.

There was suspicion in Tunisia that the multiple pregnancy was a scam intended for profit. Multiple births generally come at least two months early, and require Caesarean section to protect the soft heads of the very small foetuses from damage.

The woman was reportedly being cared for round the clock in a hospital in the city of Gafsa, about 350km south-west of the capital, Tunis.

The husband of the woman told the newspaper Assabah that his wife was expecting six boys and six girls. He insisted it was a natural pregnancy, and that she had not taken hormones or other medicines.

Physicians said the woman and her 12 foetuses were in ”good shape”, and they anticipated delivery without Caesarian section, Assabah reported.

After being unemployed for years, the woman married her husband in July 2007 and had suffered two miscarriages since then, Alchourouk reported. She is to remain in hospital until delivery.

A successful pregnancy with 12 babies would be a medical sensation. The highest known number of multiple births was nine, to a woman in Australia in 1971. All nine babies died after several days.

The survival chance of the babies depends on how much time they have spent in the uterus. They often weigh less than 1 000 grams and need special medical care afterwards.

Large multiple births are usually the result of infertility treatments with hormones that stimulate the production of eggs from the mother’s ovaries. Artificial insemination can also lead to large multiple births if more than one or two fertilised eggs are implanted in the uterus.

The most recent known successful large multiple birth was in January to a California woman who delivered eight babies nine weeks prematurely.

The Caesarean delivery required a team of 46 doctors and helpers, and the babies weighed between 880 grams and 1,47kg. All eight needed to spend about two months in
incubators.

In 1998, a Nigerian-born woman in Texas gave birth to octuplets extremely prematurely, seven of whom survived. — Sapa-dpa