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Cited by 22Global Maternal and Child HealthAssisted Reproductive Technology and Twin PregnancyMaternal and Neonatal Healthcare

The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.

Perinatal outcomes of multiple-gestation pregnancies in Kenya, Zambia, Pakistan, India, Guatemala, and Argentina: A global network study.

Open access
Marete, Irene, Tenge, Constance, Pasha, Omrana, Goudar, Shivaprasad, Chomba, Elwyn, Patel, Archana, Althabe, Fernando, Garces, Ana, McClure, Elizabeth, Saleem, Sarah, Esamai, Fabian, Kodkany, Bhala, Belizan, Jose, Derman, Richard, Hibberd, Patricia, Krebs, Nancy, Buekens, Pierre, Goldenberg, Robert, Carlo, Waldemar, Wallace, Dennis, Moore, Janet, Koso-Thomas, Marion, Wright, Linda, Liechty, Edward·2013·American Journal of Perinatology
DOI 10.1055/s-0033-1338173PMC PMC4013719
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Abstract

AIM: To determine the rates of multiple gestation, stillbirth, and perinatal and neonatal mortality and to determine health care system characteristics related to perinatal mortality of these pregnancies in low- and middle-income countries. METHODS: Pregnant women residing within defined geographic boundaries located in six countries were enrolled and followed to 42 days postpartum. RESULTS: Multiple gestations were 0.9% of births. Multiple gestations were more likely to deliver in a health care facility compared with singletons (70 and 66%, respectively, p < 0.001), to be attended by skilled health personnel (71 and 67%, p < 0.001), and to be delivered by cesarean (18 versus 9%, p < 0.001). Multiple-gestation fetuses had a relative risk (RR) for stillbirth of 2.65 (95% confidence interval [CI] 2.06, 3.41) and for perinatal mortality rate (PMR) a RR of 3.98 (95% CI 3.40, 4.65) relative to singletons (both p < 0.0001). Neither delivery in a health facility nor the cesarean delivery rate was associated with decreased PMR. Among multiple-gestation deliveries, physician-attended delivery relative to delivery by other health providers was associated with a decreased risk of perinatal mortality. CONCLUSIONS: Multiple gestations contribute disproportionately to PMR in low-resource countries. Neither delivery in a health facility nor the cesarean delivery rate is associated with improved PMR.

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Crossref · 10.1055/s-0033-1338173

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  • In low- and middle-income countries, access to care during pregnancy and at birth is a significant barrier for women carrying multiple or singleton births, compared to high income countries.

    “In low- and middle-income countries (LMICs) access to care, during pregnancy and at birth, is a significant barrier for women carrying multiple or singleton births, compared to high income countries.”

    From Comparison of perinatal outcome and mode of birth of twin and singleton pregnancies in migrant and refugee populations on the Thai Myanmar border: A population cohort (2024) · cites this paper as [4]

    The Introduction describes poor antenatal attendance, limited availability of skilled birth attendants, and many births outside health facilities in developing countries. The Discussion likewise reports gaps in antenatal and delivery care in low-resource settings. The paper contrasts pregnancy outcomes between developing and developed countries, but does not directly compare access to care between them, so that part of the claim is not established. (LLM, conf=0.84)

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  • Compared to singleton pregnancies, twin pregnancies have a higher risk of poor outcomes, such as postpartum hemorrhage (PPH) and preterm birth, as well as obstetrical and post-partum complications.

    “Compared to singleton pregnancies, twin pregnancies have a higher risk of poor outcomes, such as postpartum hemorrhage (PPH) and preterm birth, as well as obstetrical and post-partum complications [3–5].”

    From Comparison of perinatal outcome and mode of birth of twin and singleton pregnancies in migrant and refugee populations on the Thai Myanmar border: A population cohort (2024) · cites this paper as [4]

    The Introduction (page not provided) says multiple pregnancies have greater maternal morbidity than singleton pregnancies and specifically names postpartum hemorrhage and other complications. The Results (page not provided) report a shorter mean gestational age for multiple pregnancies (35.8 versus 38.7 weeks), but do not establish a higher rate of preterm birth; the comparisons also concern multiple gestations rather than twins alone. (LLM, conf=0.84)

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Research works printed but not linked: 2

  1. [1]Public Health Agency of Canada Canadian Perinatal Health Report, 2008 Edition 2008 Ottawa
  2. [7]Mathews TJ Minino AM Osterman MJK Strobino DM Guyer B Annual Summary of Vital Statistics: 2008 Pediatrics 2011 127 146 57 21173001

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Metadata

Authors
Marete, I., Tenge, C., Pasha, O., Goudar, S., Chomba, E., Patel, A., Althabe, F., Garces, A., McClure, E., Saleem, S., Esamai, F., Kodkany, B., Belizan, J., Derman, R., Hibberd, P., Krebs, N., Buekens, P., Goldenberg, R., Carlo, W., Wallace, D., Moore, J., Koso-Thomas, M., Wright, L., & Liechty, E.
Affiliations
  • Moi University (KE)
  • Aga Khan University (PK)
  • Jawaharlal Nehru Medical College (IN)
  • University Teaching Hospital (ZM)
  • Lata Medical Research Foundation (IN)
  • Instituto de Efectividad Clínica y Sanitaria (AR)
  • Multidisciplinary Health Institute, Francisco Marroquin University, Guatemala City, Guatemala
  • RTI International (US)
  • Institute for Clinical Effectiveness, Buenos Aires, Argentina
  • Christiana Care Health System (US)
  • Harvard University (US)
  • University of Colorado Denver (US)
  • Tulane University (US)
  • Columbia University (US)
  • University of Alabama at Birmingham (US)
  • National Institutes of Health (US)
  • Indiana University Health (US)
Corresponding author
Liechty, Edward
ORCID
Venue
American Journal of Perinatology
Publisher
Georg Thieme Verlag KG
Published
2013-03-19
Volume
31
Issue
02
Pages
125-132
ISSN
  • 0735-1631 (ISSN-L)
  • 1098-8785
DOI
10.1055/s-0033-1338173
PMC
PMC4013719
OpenAlex
W2033261434
Cited by
22
References
12
Citations by year
2024: 6 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 1 · 2016: 2 · 2015: 4
FWCI
1.86
Type
journal article
Language
en
Open access
Locations
  • American Journal of Perinatology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • U.S. Department of Health and Human Services
  • National Institutes of Health
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (UG1HD076461, U10HD076474, U01HD040636, U01HD040607, U01HD040657, U01HD042372, U01HD058322, U01HD043464, U10HD078438, U01HD040477, U10HD078439, U10HD076461, U01HD058326, U10HD076457, UG1HD076474)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Assisted Reproductive Technology and Twin Pregnancy
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Keywords
multiple pregnancy, perinatal mortality, stillbirth, neonatal mortality, low- and middle-income countries, skilled birth attendance, institutional delivery, cesarean section, health care system characteristics
MeSH terms
Adult, Developing Countries, Female, Humans, Infant Mortality, Infant, Newborn, Male, Pregnancy, Pregnancy Outcome, Pregnancy, Multiple, Risk, Global Health, Stillbirth, Perinatal Mortality, Young Adult, Pregnancy, Twin

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