ArticleBMC pediatrics2016
The large contribution of twins to neonatal and post-neonatal mortality in The Gambia, a 5-year prospective study.
Article in BMC pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 32 citations in OpenAlex.
- Artemisinin-based combination therapy during pregnancy: outcome of pregnancy and infant mortality: a cohort study.Malaria journal · 2019Trial
- Association between risk of mortality among children and twin birth in India: an econometric analysis of live births between 1993-2021.Journal of global health · 2025Article
- Prevalence and determinants of post-neonatal mortality in East Africa: a multilevel analysis of the recent demographic and health survey.Frontiers in pediatrics · 2025Article
- Impact of planned delivery mode on neonatal outcomes and costs in twin pregnancies in Kenya.AJOG global reports · 2024Article
- Risk Factors for Neonatal Mortality in Rural Iganga District, Eastern Uganda: A Case Control Study.The East African health research journal · 2023Article
- Cause and risk factors of early neonatal death in Ethiopia.PloS one · 2022Article
- Prevalence and outcomes of twin pregnancies in Botswana: a national birth outcomes surveillance study.BMJ open · 2021Article
- Risk factors of infant mortality in rural The Gambia: a retrospective cohort study.BMJ paediatrics open · 2021Article
- Stillbirths, Neonatal Morbidity, and Mortality in Health-Facility Deliveries in Urban Gambia.Frontiers in pediatrics · 2021Article
- Article
- National policies and care provision in pregnancy and childbirth for twins in Eastern and Southern Africa: A mixed-methods multi-country study.PLoS medicine · 2019Article
- Household air pollution from cooking and risk of adverse health and birth outcomes in Bangladesh: a nationwide population-based study.Environmental health : a global access science source · 2017Article
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Authors and funding
8 authors at 2 institutions in 4 countries.
Funding
Abstract
backgroundA high twinning rate and an increased risk of mortality among twins contribute to the high burden of infant mortality in Africa. This study examined the contribution of twins to neonatal and post-neonatal mortality in The Gambia, and evaluated factors that contribute to the excess mortality among twins.
methodsWe analysed data from the Basse Health and Demographic Surveillance System (BHDSS) collected from January 2009 to December 2013. Demographic and epidemiological variables were assessed for their association with mortality in different age groups.
resultsWe included 32,436 singletons and 1083 twins in the analysis (twining rate 16.7/1000 deliveries). Twins represented 11.8 % of all neonatal deaths and 7.8 % of post-neonatal deaths. Mortality among twins was higher than in singletons [adjusted odds ratio (AOR) 4.33 (95 % CI: 3.09, 6.06) in the neonatal period and 2.61 (95 % CI: 1.85, 3.68) in the post-neonatal period]. Post-neonatal mortality among twins increased in girls (P for interaction = 0.064), being born during the dry season (P for interaction = 0.030) and lacking access to clean water (P for interaction = 0.042).
conclusionMortality among twins makes a significant contribution to the high burden of neonatal and post-neonatal mortality in The Gambia and preventive interventions targeting twins should be prioritized.
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