Perinatal Outcomes of Multiple Gestation Pregnancies in Kenya, Zambia, Pakistan, India, Guatemala and Argentina: A Global Network Study

IRENE MARETE; CONSTANCE TENGE; OMRANA PASHA; SHIVAPRASAD GOUDAR; ELWYN CHOMBA; ARCHANA PATEL; FERNANDO ALTHABE; ANA GARCES; ELIZABETH M. MCCLURE; SARAH SALEEM; FABIAN ESAMAI; BHALA KODKANY; BELIZÁN JM; RICHARD J. DERMAN; PATRICIA L. HIBBERD; K. MICHAEL HAMBIDGE; BUEKENS P; ROBERT L. GOLDENBERG; WALDEMAR A. CARLO; DENNIS WALLACE; JANET MOORE; MARION KOSO-THOMAS; LINDA L. WRIGHT; EDWARD A. LIECHTY

AM J Perinatol

Am J Perinatol

Año: 2014 p. 125 - 135

1098-8785

Objective The aims of the study were to determine the rates of multiple gestation, the stillbirth, perinatal, and neonatal mortality rates, and to determine health care characteristics associated with outcomes of these pregnancies in low- and mid-income countries. Design/Methods All pregnant women residing in defined geographic clusters located in 7 sites in 6 countries, Kenya, Zambia, Argentina, Guatemala, Pakistan, India (Belgaum and Nagpur) were enrolled and followed to 42 days postpartum, with staff collecting pregnancy characteristics and maternal and perinatal outcomes. Results A total of 69,706 women were enrolled. Multiple gestations accounted for 0.9% of all births (twins 0.9%, triplets 0.01%). Kenya and Pakistan had the highest rates of multiple gestation deliveries with 14.6/1000 and 10.7/1000 live births respectively. The mothers with a multiple gestation were more likely to deliver in a health care facility compared to singleton pregnancy mothers (70% and 66% respectively, p