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The impact of the increasing number of multiple births on the rates of preterm birth and low birthweight: An international study

Author

Listed:
  • Blondel, B.
  • Kogan, M.D.
  • Alexander, G.R.
  • Dattani, N.
  • Kramer, M.S.
  • Macfarlane, A.
  • Wen, S.W.

Abstract

Objectives. We studied the effects of twins and triplets on perinatal health indicators in the overall population in the 1980s and 1990s in Canada, England and Wales, France, and the United States. Methods. Data were derived mostly from live birth registration. We used rates, relative risks, and population attributable risks for twins and triplets separately. Results. In each country, the increase in multiple births, and the increase in preterm delivery among multiple births, contributed almost equally to the rise in or stabilization of the overall rates of preterm delivery. Twins contributed a much larger proportion of the preterm deliveries and low-birthweight newborns than did triplets. Conclusions. Twins have a major population-based impact on the trends of perinatal health indicators.

Suggested Citation

  • Blondel, B. & Kogan, M.D. & Alexander, G.R. & Dattani, N. & Kramer, M.S. & Macfarlane, A. & Wen, S.W., 2002. "The impact of the increasing number of multiple births on the rates of preterm birth and low birthweight: An international study," American Journal of Public Health, American Public Health Association, vol. 92(8), pages 1323-1330.
    • Handle: RePEc:aph:ajpbhl:2002:92:8:1323-1330_3
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    Citations

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    Cited by:

    1. O'Neill June E & O'Neill Dave M, 2008. "Health Status, Health Care and Inequality: Canada vs. the U.S," Forum for Health Economics & Policy, De Gruyter, vol. 10(1), pages 1-45, April.
    2. VanderWeele, Tyler J. & Lantos, John D. & Lauderdale, Diane S., 2012. "Rising preterm birth rates, 1989–2004: Changing demographics or changing obstetric practice?," Social Science & Medicine, Elsevier, vol. 74(2), pages 196-201.
    3. Daniel Powers & Seung-Eun Song, 2009. "Absolute Change in Cause-Specific Infant Mortality for Blacks and Whites in the US: 1983–2002," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 28(6), pages 817-851, December.
    4. Le, Kien & Nguyen, My, 2020. "Armed conflict and birth weight," Economics & Human Biology, Elsevier, vol. 39(C).
    5. Andrea M. Tilstra & Ryan K. Masters, 2020. "Worth the Weight? Recent Trends in Obstetric Practices, Gestational Age, and Birth Weight in the United States," Demography, Springer;Population Association of America (PAA), vol. 57(1), pages 99-121, February.
    6. Teresa Castro Martín, 2010. "Single motherhood and low birthweight in Spain," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 22(27), pages 863-890.
    7. R. Todd Jewell, 2007. "Prenatal care and birthweight production: evidence from South America," Applied Economics, Taylor & Francis Journals, vol. 39(4), pages 415-426.
    8. Reader, Mary Patricia, 2021. "The birthweight effects of universal child benefits in pregnancy: quasi-experimental evidence from England and Wales," LSE Research Online Documents on Economics 121528, London School of Economics and Political Science, LSE Library.
    9. DeCicca, Philip & Malak, Natalie, 2020. "When good fences aren’t enough: The impact of neighboring air pollution on infant health," Journal of Environmental Economics and Management, Elsevier, vol. 102(C).
    10. Martina Štípková, 2013. "Declining health disadvantage of non-marital children," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 29(25), pages 663-706.
    11. Mary Reader, 2021. "The birthweight effects of universal child benefits in pregnancy: quasi-experimental evidence from England and Wales," CASE Papers /222, Centre for Analysis of Social Exclusion, LSE.
    12. Hector Cebolla-Boado & Leire Salazar, 2016. "Differences in perinatal health between immigrant and native-origin children: Evidence from differentials in birth weight in Spain," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 35(7), pages 167-200.
    13. Hideko Matsuo, 2006. "The Postponement of Motherhood and its Child Health Consequences: Birth Weight and Weight Gain during the First Year of Life," Vienna Yearbook of Population Research, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna, vol. 4(1), pages 91-114.

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