Double jeopardy: Twin infant mortality in the United States, 1983 and 1984

Mary Glenn Fowler, Joel C. Kleinman, John L. Kiely, Samuel S. Kessel

Research output: Contribution to journalArticle

Abstract

The United States Linked Birth/Infant Death Data Sets: 1983 and 1984 Birth Cohorts from the National Center for Health Statistics were used to identify maternal and infant characteristics related to twin infant mortality; 41,554 white and 10,062 black live-born matched twin pairs were evaluated. Twin birth weight distribution was skewed with 48% of white and 63% of black twins born weighing 25% birth weight disparity had a 40% to 80% increased risk of both twins dying, compared with twins whose weights were within 10% of each other. Twins born to high-risk women (on the basis of demographic factors) were twice as likely to die as twins born to low-risk women. Thus strategies to decrease twin infant mortality must address both maternal and infant risk factors.

Original languageEnglish (US)
Pages (from-to)15-22
Number of pages8
JournalAmerican Journal of Obstetrics and Gynecology
Volume165
Issue number1
DOIs
StatePublished - 1991
Externally publishedYes

Fingerprint

Infant Mortality
Birth Weight
Mothers
Parturition
National Center for Health Statistics (U.S.)
Demography
Weights and Measures

Keywords

  • infant mortality
  • risk factors
  • Twins

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Double jeopardy : Twin infant mortality in the United States, 1983 and 1984. / Fowler, Mary Glenn; Kleinman, Joel C.; Kiely, John L.; Kessel, Samuel S.

In: American Journal of Obstetrics and Gynecology, Vol. 165, No. 1, 1991, p. 15-22.

Research output: Contribution to journalArticle

Fowler, Mary Glenn ; Kleinman, Joel C. ; Kiely, John L. ; Kessel, Samuel S. / Double jeopardy : Twin infant mortality in the United States, 1983 and 1984. In: American Journal of Obstetrics and Gynecology. 1991 ; Vol. 165, No. 1. pp. 15-22.
@article{1e1694c04e364169bcaec147330ea330,
title = "Double jeopardy: Twin infant mortality in the United States, 1983 and 1984",
abstract = "The United States Linked Birth/Infant Death Data Sets: 1983 and 1984 Birth Cohorts from the National Center for Health Statistics were used to identify maternal and infant characteristics related to twin infant mortality; 41,554 white and 10,062 black live-born matched twin pairs were evaluated. Twin birth weight distribution was skewed with 48{\%} of white and 63{\%} of black twins born weighing 25{\%} birth weight disparity had a 40{\%} to 80{\%} increased risk of both twins dying, compared with twins whose weights were within 10{\%} of each other. Twins born to high-risk women (on the basis of demographic factors) were twice as likely to die as twins born to low-risk women. Thus strategies to decrease twin infant mortality must address both maternal and infant risk factors.",
keywords = "infant mortality, risk factors, Twins",
author = "Fowler, {Mary Glenn} and Kleinman, {Joel C.} and Kiely, {John L.} and Kessel, {Samuel S.}",
year = "1991",
doi = "10.1016/0002-9378(91)90215-D",
language = "English (US)",
volume = "165",
pages = "15--22",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Double jeopardy

T2 - Twin infant mortality in the United States, 1983 and 1984

AU - Fowler, Mary Glenn

AU - Kleinman, Joel C.

AU - Kiely, John L.

AU - Kessel, Samuel S.

PY - 1991

Y1 - 1991

N2 - The United States Linked Birth/Infant Death Data Sets: 1983 and 1984 Birth Cohorts from the National Center for Health Statistics were used to identify maternal and infant characteristics related to twin infant mortality; 41,554 white and 10,062 black live-born matched twin pairs were evaluated. Twin birth weight distribution was skewed with 48% of white and 63% of black twins born weighing 25% birth weight disparity had a 40% to 80% increased risk of both twins dying, compared with twins whose weights were within 10% of each other. Twins born to high-risk women (on the basis of demographic factors) were twice as likely to die as twins born to low-risk women. Thus strategies to decrease twin infant mortality must address both maternal and infant risk factors.

AB - The United States Linked Birth/Infant Death Data Sets: 1983 and 1984 Birth Cohorts from the National Center for Health Statistics were used to identify maternal and infant characteristics related to twin infant mortality; 41,554 white and 10,062 black live-born matched twin pairs were evaluated. Twin birth weight distribution was skewed with 48% of white and 63% of black twins born weighing 25% birth weight disparity had a 40% to 80% increased risk of both twins dying, compared with twins whose weights were within 10% of each other. Twins born to high-risk women (on the basis of demographic factors) were twice as likely to die as twins born to low-risk women. Thus strategies to decrease twin infant mortality must address both maternal and infant risk factors.

KW - infant mortality

KW - risk factors

KW - Twins

UR - http://www.scopus.com/inward/record.url?scp=0025819888&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025819888&partnerID=8YFLogxK

U2 - 10.1016/0002-9378(91)90215-D

DO - 10.1016/0002-9378(91)90215-D

M3 - Article

C2 - 1853892

AN - SCOPUS:0025819888

VL - 165

SP - 15

EP - 22

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 1

ER -