ArticlePloS one2019
Temporal trends in the birth rates and perinatal mortality of twins: A population-based study in China.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Early postnatal risk stratification for severe adverse outcomes in twin neonates admitted to the neonatal intensive care unit: development and temporal validation of an interpretable machine learning model.Translational pediatrics · 2026Article
- Twin growth discordance trajectories and fetal growth velocity for predicting adverse neonatal outcomes: a multicenter cohort study.Frontiers in medicine · 2026Article
- Asymptomatic twin pregnancies with newly short cervix at 24-27Archives of gynecology and obstetrics · 2025Article
- Early preterm antenatal corticosteroids and neonatal outcomes for twin pregnancies: a propensity score-weighted cohort study.BMC pregnancy and childbirth · 2025Article
- 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
- Effect of gestational weight gain on adverse birth outcomes in twin pregnancies: a prospective cohort study in Chinese women.BMC pregnancy and childbirth · 2025Article
- Article
- Comparison of singleton and twin birth weight reference percentile curves by gestational age and sex in extremely preterm infants: a population-based study.BMJ paediatrics open · 2024Article
- The association of preconceptional folic acid supplementation with gestational age and preterm birth risk in twin pregnancies: a prospective cohort study in China.European journal of nutrition · 2024Article
- Article
- Antenatal Corticosteroid Treatment During the Late-Preterm Period and Neonatal Outcomes for Twin Pregnancies.JAMA network open · 2023Article
- Chorionicity-associated variation in metabolic phenotype of cord blood in twin.Nutrition & metabolism · 2023Article
- The adverse effect of gestational diabetes mellitus and hypertensive disorders of pregnancy on maternal-perinatal outcomes among singleton and twin pregnancies: a retrospective cohort study (2011-2019).Frontiers in endocrinology · 2023Article
- Temporal trends and adverse perinatal outcomes of twin pregnancies at differing gestational ages: an observational study from China between 2012-2020.BMC pregnancy and childbirth · 2022Observational
- Impact of maternal gestational weight gain in twin pregnancies on early childhood obesity risk: A longitudinal birth cohort study.Frontiers in pediatrics · 2022Article
- Clinical analysis on the influencing factors related to preterm twin pregnancy.Revista da Associacao Medica Brasileira (1992) · 2022Article
- Article
- Should singleton birth weight standards be applied to identify small-for-gestational age twins?: analysis of a retrospective cohort study.BMC pregnancy and childbirth · 2021Article
- Twin Peaks: more twinning in humans than ever before.Human reproduction (Oxford, England) · 2021Article
- Incidence and Risk Factors of Postpartum Hemorrhage in China: A Multicenter Retrospective Study.Frontiers in medicine · 2021Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveUntil now, little was known about the epidemiological characteristics of twins in China due to a lack of reliable national data. In this study, we aimed to analyze temporal trends and perinatal mortality of twins from China.
methodsData on twins between 2007 and 2014 were obtained from the China National Population-Based Birth Defects Surveillance System. Twin and singleton deliveries after at least 28 weeks of gestation were recruited and followed until postnatal day 42. Twinning rates were defined as the number of twin individuals per 1000 births(stillbirths and live births). The Weinberg's differential method was utilized to estimate the number of monozygotic and dizygotic twins.
resultsDuring 2007-2014, the twinning rate increased by 32.3% from 16.4 to 21.7 per 1000 total births with an average of 18.8‰. Among twins, both the perinatal mortality rate (26.1 per 1000 total births) and neonatal death rate (15.7 per 1000 live births) presented a downward tendency but remained at a high level. Large urban-rural and geographic disparities were identified in twinning rates, in perinatal and neonatal mortality, and in their temporal trends.
conclusionsThe upward trend of twinning rates in China paired with the relatively high rates of perinatal and neonatal mortality among twins highlights the need for improved perinatal care in the light of socio-demographic differences.
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