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Mortality and Morbidity among Twins: Recent Observations from the United States

Published online by Cambridge University Press:  01 August 2014

L. Keith
L. Keith*
Affiliation:
Department of Obstetrics and Gynecology, Northwestern University Medical School, The Prentice Women's Hospital and Maternity Center of Northwestern Memorial Hospital, and The Center for the Study of Multiple Birth, Chicago, Illinois, USA
*
333 East Superior Streeet, Room 464, Chicago, Illinois 60611, USA

Abstract

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The increasing number of twin (and higher order) births is a matter of national concern for two reasons: First, the differential rates of preterm (< 37 weeks) delivery and low birthweight (< 2,500g) among twins compared to singletons; and second, the inordinate contribution of these infants to overall infant mortality, morbidity and long-term handicap. Data from all births in the U.S. during 1987 and 1988 was used to calculate distribution frequencies for gestational age at delivery, and birthweight, as well as mortality and handicap rates and the corresponding relative risks of these latter events for twins compared to singletons. A suggestion for improvement in the mortality and handicap rates and reduced costs among survivors is presented. This proposal is based upon data from the singleton and twin literature and the use of the prenatal invervention of adequate maternal nutrition during the pregnancy.

Keywords

TwinsMultiplesMortalityMorbidityPreterm deliveryLow birthweightMaternal weight gainHandicap.
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 43 , Issue 1-2 , April 1994 , pp. 25 - 31
Copyright
Copyright © The International Society for Twin Studies 1994

References

REFERENCES

1. Abrams, BF, Laros, RK (1986): Prepregnancy weight, weight gain, and birthweight. Am J Obstet Gynecol 154:503–509.CrossRefGoogle Scholar
2. Botting, BJ MacDonald Davies, I, MacFarlane, AJ (1987): Recent trends in the incidence of multiple births and associated mortality. Arch Dis Child 62:941–950.Google Scholar
3. Brown, JE, Berdan, KW, Splett, P. Robinson, M (1986): Prenatal weight gains related to the birth of healthy-sized infants born to low-income women. J Am Dietet Assoc 86:1679–1683.CrossRefGoogle Scholar
4. Brown, JE, Schloesser, PT (1990): Prepregnancy weight status, prenatal weight gain, and the outcome of term twin gestations. Am J Obstet Gynecol 162:182–186.Google Scholar
5. Effective Prevention of Preterm Birth: The French Experience Measured at Haguenau, Papiernik, E., Keith, L.G., Bouyer, J., Dreyfus, J. and Lazar, P. (eds). White Plains, NY: March of Dimes Birth Defect Foundation, Vol. 25, No. 1, 1989.Google Scholar
6. Fabre, E, Gonzalez de Aguero, R, de Agustin, JL, Perez-Hiraldo, MP, Bescos, JL (1988): Perinatal mortality in twin pregnancy: An analysis of birthweight-specific mortality rates and adjusted mortality rates for birthweight distributions. J Perinatal Med 16:85–91.Google Scholar
7. Gaschino, S, Spinillo, A, Stola, E, Pescando, PC (1987): Growth retardation, size at birth and perinatal mortality in twin pregnancy. Int J Gynaecol Obstet 25:399–403.Google Scholar
8 Institute of Medicine/National Academy of Sciences: “Nutrition During Pregnancy”. Washington, DC: National Academy Press, 1990.Google Scholar
9. Luke, B, Dickinson, C, Petrie, RH (1981): Intrauterine growth: correlations of maternal nutritional status and rate of gestational weight gain. Eur J Obstet Gynecol 12:113–121.CrossRefGoogle ScholarPubMed
10. Luke, B (1987): Twin births: influence of maternal weight on intrauterine growth and prematurity. Fed Proc 46:1015.Google Scholar
11. Luke, B: The Association Between Maternal Weight Gain and the Birthweight of Twins. Doctoral Thesis (1991), The Johns Hopkins University.Google Scholar
12. Luke, B, Keith, L (1992): The contribution of singletons, twins and triplets to low birthweight, infant mortality and handicap in the United States. J Reprod Med 37:661–666.Google Scholar
13. Luke, B, Keith, L, Witter, F (1992): Theoretical model for reducing neonatal morbidity and mortality and associated costs among twins. The J of Mat-Fet Med 1:14–19.Google Scholar
14. Luke, B, Keith, L (1994): The changing pattern of multiple births in the United States: maternal and infant characteristics, 1973 and 1990. Obstet and Gynecol (in press).Google Scholar
15. McCarthy, BJ, Sachs, BP, Layde, PM, Burton, A, Terry, JS, Rochar, R (1981): The epidemiology of neonatal death in twins. Am J Obstet Gynecol 141:252–256.Google Scholar
16. Medearis, Al, Jonas, HS, Stockbauer, JW, Domke, HR (1979): Perinatal deaths in twin pregnancy: a five-year analysis of statewide statistics in Missouri. Am J Obstet Gynecol 134:413–421.CrossRefGoogle ScholarPubMed
17. Pederson, AL, Worthington-Roberts, B, Hickok, DE (1989): Weight gain patterns during twin gestation. J Am Dietet Assoc 89:642–646.Google Scholar
18. Shneider, K.T., Buno, P. Weber, S., Huch, A. Huch, R (1993): An orthostatic uterovascular syndrome: a prospective, longitudinal study. Am J Obstet Gynecol, 169 (1):183–188.CrossRefGoogle Scholar
19. Seidman, DS, Ever-Hadani, P, Gale, R (1989): The effect of maternal weight gain in pregnancy on birthweight. Obstet Gynecol 74:240–246.Google Scholar
20. Taffel, S (1986): Maternal weight gain and the outcome of pregnancy, United States, 1980. In “Vital and Health Statistics”, Series 21, No, 44, Hyattsville, MD: National Center for Health Statistics.Google Scholar
21. U.S. Congress, Office of Technology Assessment (1987): “Neonatal Intensive Care for Low Birthweight Infants: Cost and Effectiveness”. (Health Technology Case Study 38). Pub no. OTA-HCS-38. Washington, DC.Google Scholar
22. U.S. Department of Health and Human Services (Public Health Service, Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health): National Infant Mortality Surveillance (NIMS), 1980. Atlanta, GA, Centers for Disease Control, 1989.Google Scholar
23. U.S. Congress, Office of Technology Assessment (1988): “Healthy Children: Investing in the Future”. Pub no. OTA-H-345. Washington, D.C., U.S. Government Printing Office.Google Scholar
24. Williams, RL, Creasy, RK, Cunningham, GC, Hawes, WE, Norris, FD, Tashiro, M (1982): Fetal growth and perinatal viability in California. Obstet Gynecol 59: 624–632.Google ScholarPubMed