Multiple pregnancy in rural Burkina Faso: frequency, survival, and use of health services

Acta Obstetricia Et Gynecologica Scandinavica
Albrecht JahnHeiko Becher

Abstract

To assess the birth of twins in rural Burkina Faso with respect to prevalence, mortality, and provision of obstetric care. A descriptive demographic analysis of population-based and health service data was performed with multivariate modeling by Poisson regression. Health service data were derived from a document review in health facilities in the Nouna District for the years 1994-2001. The district hospital provides obstetric care for the entire district with its 252,000 population (1998). Population-based data (deliveries, live births, deaths) were derived from the demographic surveillance system in the surveillance area within the Nouna District, Burkina Faso (population under surveillance: 30,988 in 1998). All births in the period from January 1, 1993 to December 31, 1998 (9457 recorded deliveries with 9,610 live births) were included and followed up until April 30, 2002. The main outcome measures were the prevalence of twin delivery as well as age- and sex-specific mortality risks. Mortality of twins is high, with one out of three dying before reaching the age of five years--2.5 times the mortality risk of singletons. Among twins, mortality is particularly high in the neonatal period (RR 5.16; CI: 3.6-7.5) and in twins bor...Continue Reading

Citations

Oct 24, 2012·Twin Research and Human Genetics : the Official Journal of the International Society for Twin Studies·Morten Bjerregaard-AndersenMorten Sodemann
Dec 12, 2012·BMC Pregnancy and Childbirth·Morten Bjerregaard-AndersenMorten Sodemann
Sep 6, 2012·BMC Public Health·Abdoulaye Hama DialloUNKNOWN PROMISE-EBF Study Group
Jun 3, 2014·BMC Pregnancy and Childbirth·Gbenga A KayodeKerstin Klipstein-Grobusch
Mar 5, 2011·Journal of Perinatology : Official Journal of the California Perinatal Association·A H DialloUNKNOWN PROMISE-EBF Study Group
Jun 21, 2008·Journal de gynécologie, obstétrique et biologie de la reproduction·H RakotosehenoJ Ranjalahy Rasolofomanana
Dec 17, 2008·Tropical Medicine & International Health : TM & IH·Jacqueline S BellWendy J Graham
Sep 23, 2014·Tropical Medicine & International Health : TM & IH·M Bjerregaard-AndersenM Sodemann
Nov 21, 2018·The American Journal of Tropical Medicine and Hygiene·Gisela Kynast-WolfHeiko Becher

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