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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Twin pregnancy and severe maternal outcomes
Obstetrics and Gynecology, Volume 127, No. 4, Year 2016
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Description
OBJECTIVE: To evaluate maternal complications (potentially life-threatening conditions, maternal near miss, and maternal death) that are mutually exclusive and severe maternal outcomes (maternal near miss or maternal death) associated with twin pregnancies. METHODS: We performed a secondary analysis of a cross-sectional World Health Organization Multicountry Survey, which was implemented in 29 countries. Data from 4,756 twin deliveries were compared with 308,111 singleton deliveries. Factors associated with maternal morbidity and twin pregnancies were reported with adjusted prevalence ratio (95% confidence interval). RESULTS: Potentially life-threatening conditions, maternal near miss, severe maternal outcomes, and maternal deaths were 2.14 (1.99-2.30), 3.03 (2.39-3.85), 3.19 (2.58-3.94), and 3.97 (2.47-6.38) times higher, respectively, among twin pregnancies. Maternal age older than 20 years, having a partner, multiparity, and elective cesarean delivery were associated with twin pregnancies. Postpartum hemorrhage and chronic hypertension were more frequently associated with severe maternal outcomes among twin pregnancies. Conditions indicating organ dysfunction (maternal near miss) were twofold to fivefold higher for twins. Poisson multiple regression analysis identified several factors independently associated with a severe maternal outcome, but not twin pregnancies. CONCLUSION: Twin pregnancy is associated with greater severe maternal morbidity and a higher rate of maternal death than singleton pregnancy. © 2016 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc.
Authors & Co-Authors
Santana, Danielly Scaranello
Kenya, Nairobi
University of Nairobi Medical School
Cecatti, José Guilherme
Kenya, Nairobi
University of Nairobi Medical School
Surita, Fernanda Garanhani De Castro
Kenya, Nairobi
University of Nairobi Medical School
Silveira, Carla Semiramis
Kenya, Nairobi
University of Nairobi Medical School
Costa, Maria Laura Botelho
Kenya, Nairobi
University of Nairobi Medical School
Souza, Joao Paulo
Kenya, Nairobi
University of Nairobi Medical School
Mazhar, Syeda Batool
Kenya, Nairobi
University of Nairobi Medical School
Jayaratne, Kapila
Kenya, Nairobi
University of Nairobi Medical School
Qureshi, Zahida P.
Kenya, Nairobi
University of Nairobi Medical School
de Sousa, Maria Helena
Kenya, Nairobi
University of Nairobi Medical School
Vogel, Joshua P.
Kenya, Nairobi
University of Nairobi Medical School
Statistics
Citations: 92
Authors: 11
Affiliations: 1
Identifiers
Doi:
10.1097/AOG.0000000000001338
ISSN:
00297844
Research Areas
Maternal And Child Health
Noncommunicable Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative