dc.contributor.author | Marete, Irene | |
dc.contributor.author | Tenge, Constance | |
dc.contributor.author | Pasha, Omrana | |
dc.contributor.author | Goudar, Shivaprasad | |
dc.contributor.author | Chomba, Elwyn | |
dc.contributor.author | Patel, Archana | |
dc.contributor.author | Althabe, Fernando | |
dc.contributor.author | Garces, Ana | |
dc.contributor.author | McClure, Elizabeth M. | |
dc.contributor.author | Saleem, Sarah | |
dc.contributor.author | Esamai, Fabian | |
dc.contributor.author | Kodkany, Bhala S. | |
dc.contributor.author | Belizan, Jose M. | |
dc.contributor.author | Derman, Richard J. | |
dc.contributor.author | . Hibberd, Patricia L | |
dc.contributor.author | Krebs, Nancy | |
dc.contributor.author | Buekens, Pierre | |
dc.contributor.author | Goldenberg, Robert L. | |
dc.contributor.author | Carlo, Waldemar A. | |
dc.contributor.author | Wallace, Dennis | |
dc.contributor.author | Moore, Janet | |
dc.contributor.author | Koso-Thomas, Marion | |
dc.contributor.author | Wright, Linda L. | |
dc.contributor.author | . Liechty, Edward A | |
dc.date.accessioned | 2024-02-20T07:35:51Z | |
dc.date.available | 2024-02-20T07:35:51Z | |
dc.date.issued | 2013-03-19 | |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/8821 | |
dc.description.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 | en_US |
dc.language.iso | en | en_US |
dc.publisher | Thieme Medical Publishers, Inc. | en_US |
dc.subject | Twins | en_US |
dc.subject | Developing countries | en_US |
dc.subject | Stillbirth | en_US |
dc.subject | Perinatal mortality rate | en_US |
dc.subject | Multiples gestation | en_US |
dc.title | Perinatal outcomes of multiple-Gestation pregnancies in Kenya, Zambia, Pakistan, India, Guatemala, and Argentina: A Global Network Study | en_US |
dc.type | Article | en_US |