Ashley, Deanna E. ; Samms Vaughan, Maureen E.; Greenwood, Rosemary; Golding, Jean
Author Affiliation, Ana.
Obstetrics, Gynaecology and Child Health
The contribution of twins to perinatal mortality in Jamaica.
Paediatric and Perinatal Epidemiology
Date of Publication
8 suppl 1
Data from the Jamaican Perinatal Mortality Survey were used to estimate the rate of multiple deliveries, the variation of this varies with demographic features, and the causes of perinatal mortality among twins. All births in the cohort months September and October 1986, and all perinatal deaths in the 12 months from 1 September ,1986 to 31 August, 1987 were recorded: 99 (1.0%) of the 10,408 pregnancies in the cohort months were multiple pregnancies. The twinning rate showed statistically significant trends with maternal age and parity, but no association with social factors. One hundred and seventy three (8.6%) of the 2,020 perinatal deaths in the 12-month period were twins, with particularly high contribution to the Wigglesworth group, 'deaths from immaturity'. The mortality rate of twins was significantly lower for mothers residing in areas with good obstetric and paediatric facilities....