Journal article
Mode and timing of twin delivery and perinatal outcomes in low- and middle-income countries: a secondary analysis of the WHO Multicountry Survey on Maternal and Newborn Health.
T Ganchimeg, N Morisaki, JP Vogel, JG Cecatti, J Barrett, K Jayaratne, S Mittal, E Ortiz-Panozo, JP Souza, C Crowther, E Ota, R Mori, undefined WHO Multicountry Survey on Maternal
BJOG an International Journal of Obstetrics and Gynaecology | WILEY | Published : 2014
Abstract
To describe the mode and timing of delivery of twin pregnancies at ≥34 weeks of gestation and their association with perinatal outcomes. Secondary analysis of a cross-sectional study. Twin deliveries at ≥34 weeks of gestation from 21 low- and middle-income countries participating in the WHO Multicountry Survey on Maternal and Newborn Health. Descriptive analysis and effect estimates using multilevel logistic regression. Stillbirth, perinatal mortality, and neonatal near miss (use of selected life saving interventions at birth). The average length of gestation at delivery was 37.6 weeks. Of all twin deliveries, 16.8 and 17.6% were delivered by caesarean section before and after the onset of l..
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Funding Acknowledgements
This study was financially supported by the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP); World Health Organization (WHO); United States Agency for International Development (USAID); Ministry of Health, Labour and Welfare of Japan; and Gynuity Health Projects. The sponsors had no role in the data collection, analysis, or interpretation of the data, the writing of the report, or the decision to submit for publication. All authors had access to the analysis plan, the outputs of that analysis, and could see the data if they wished to do so. All authors participated in the final discussion and approved the submission.