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

Academic Article

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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    Keywords

  • Adult, Developing Countries, Female, Global Health, Humans, Infant Mortality, Infant, Newborn, Male, Perinatal Mortality, Pregnancy, Pregnancy Outcome, Pregnancy, Multiple, Pregnancy, Twin, Risk, Stillbirth, Young Adult
  • Digital Object Identifier (doi)

    Author List

  • Marete I; Tenge C; Pasha O; Goudar S; Chomba E; Patel A; Althabe F; Garces A; McClure EM; Saleem S
  • Start Page

  • 125
  • End Page

  • 132
  • Volume

  • 31
  • Issue

  • 2