Twin Pregnancy And Severe Maternal Outcomes The World Health Organization Multicountry Survey On Maternal And Newborn Health

dc.creatorSantana
dc.creatorDanielly S.; Cecatti
dc.creatorJose G.; Surita
dc.creatorFernanda G.; Silveira
dc.creatorCarla; Costa
dc.creatorMaria L.; Souza
dc.creatorJoao P.; Mazhar
dc.creatorSyeda B.; Jayaratne
dc.creatorKapila; Qureshi
dc.creatorZahida; Sousa
dc.creatorMaria H.; Vogel
dc.creatorJoshua P.
dc.date2016
dc.dateabr
dc.date2017-11-13T11:33:42Z
dc.date2017-11-13T11:33:42Z
dc.date.accessioned2018-03-29T05:48:04Z
dc.date.available2018-03-29T05:48:04Z
dc.identifierObstetrics And Gynecology. Lippincott Williams & Wilkins , v. 127, p. 631 - 641, 2016.
dc.identifier0029-7844
dc.identifierWOS:000372791000003
dc.identifier10.1097/AOG.0000000000001338
dc.identifierhttp://journals.lww.com/greenjournal/Abstract/2016/04000/Twin_Pregnancy_and_Severe_Maternal_Outcomes__The.3.aspx
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/326312
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1363318
dc.descriptionTo 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.
dc.description127
dc.description4
dc.description631
dc.description641
dc.descriptionUnited Nations Development Programme/UNFPA/UNICEF/World Health Organization/World Bank Special Programme of Research, Development and Research Training in Human Reproduction
dc.descriptionWorld Health Organization
dc.descriptionU.S. Agency for International Development, Ministry of Health, Labour and Welfare of Japan
dc.descriptionGynuity Health Projects
dc.descriptionUniversity of Campinas (Faepex) [11014]
dc.languageEnglish
dc.publisherLippincott Williams & Wilkins
dc.publisherPhiladelphia
dc.relationObstetrics and Gynecology
dc.rightsfechado
dc.sourceWOS
dc.titleTwin Pregnancy And Severe Maternal Outcomes The World Health Organization Multicountry Survey On Maternal And Newborn Health
dc.typeArtículos de revistas


Este ítem pertenece a la siguiente institución