ArticleAmerican journal of perinatology2014
Perinatal outcomes of multiple-gestation pregnancies in Kenya, Zambia, Pakistan, India, Guatemala, and Argentina: a global network study.
Article in American journal of perinatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Prevalence and adverse outcomes of twin pregnancy in Eastern Africa: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2024Pooled it
- Determinants of under-five mortality in informal settlements in Nairobi, Kenya from 2002 to 2018.BMC public health · 2024Article
- Article
- Childhood mortality and associated factors in Migori County, Kenya: evidence from a cross-sectional survey.BMJ open · 2023Observational
- Length-of-stay after a health facility birth and associated factors: analysis of data from three Sub-Saharan African countries.Ghana medical journal · 2022Article
- Incidence and predictors of neonatal mortality among neonates admitted in Amhara regional state referral hospitals, Ethiopia: prospective follow up study.BMC pediatrics · 2020Article
- Detection of high-risk pregnancies in low-resource settings: a case study in Guatemala.Reproductive health · 2019Article
- Comparison of retinopathy of prematurity incidence between Turkish citizens and Syrian refugees.Indian journal of ophthalmology · 2019Article
- Article
- Predictors and outcomes of low birth weight in Lusaka, Zambia.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2016Article
- The Global Network for Women's and Children's Health Research: A model of capacity-building research.Seminars in fetal & neonatal medicine · 2015Review
- Stillbirth rates in low-middle income countries 2010 - 2013: a population-based, multi-country study from the Global Network.Reproductive health · 2015Observational
- Neonatal mortality and coverage of essential newborn interventions 2010 - 2013: a prospective, population-based study from low-middle income countries.Reproductive health · 2015Observational
Corrections and comments
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Authors and funding
24 authors at 17 institutions in 8 countries.
Funding
Abstract
aimTo 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.
methodsPregnant women residing within defined geographic boundaries located in six countries were enrolled and followed to 42 days postpartum.
resultsMultiple 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.
conclusionsMultiple 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.