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Table 3 Sociodemographic and obstetric conditions among twin and single deliveries according to the occurrence of any Adverse Perinatal Outcome (APO). WHO Multicountry Survey, 2010–2011

From: Perinatal outcomes in twin pregnancies complicated by maternal morbidity: evidence from the WHO Multicountry Survey on Maternal and Newborn Health

Perinatal outcomes

Twin deliveries n (%)

Singleton deliveries n (%)

Total

p-value*

 

APO

No APO

APO

No APO

  

Maternal agea

     

< 0.001

  < 18

49 (1.6)

22 (1.4)

3987 (4.1)

6971 (3.4)

11,029

 

 18–35

2693 (87.1)

1296 (85.0)

86,375 (88.3)

179,196 (87.6)

269,560

 

  > 35

349 (11.3)

206 (13.5)

7510 (7.7)

18,420 (9.0)

26,485

 

Maternal education (years)b

     

< 0.001

 0–4

694 (24.6)

259 (18.1)

21,295 (23.4)

34,647 (18.3)

56,895

 

 5–9

865 (30.7)

414 (28.9)

29,664 (32.6)

57,190 (30.3)

88,133

 

  > 10

1263 (44.8)

758 (53.0)

40,025 (44.0)

97,219 (51.4)

139,265

 

Parityc

     

< 0.001

 0

1121 (36.3)

401 (26.3)

47,293 (48.3)

81,773 (39.9)

130,588

 

 1–2

1306 (42.3)

793 (52.1)

37,017 (37.8)

88,631 (43.3)

127,747

 

  > 2

661 (21.4)

329 (21.6)

13,681 (14.0)

34,487 (16.8)

49,158

 

Marital statusd

     

0.013

 With no partner

251 (8.2)

91 (6.0)

10,898 (11.2)

19,766 (9.7)

31,006

 

 With partner

2825 (91.8)

1422 (94.0)

86,434 (88.8)

183,915 (90.3)

274,596

 

Gestational age at deliverye

     

< 0.001

  < 34 weeks

488 (15.8)

74 (4.8)

5966 (6.1)

1329 (0.6)

7857

 

 34–36 weeks

619 (20.1)

435 (28.5)

5850 (6.0)

8838 (4.3)

15,742

 

  ≥ 37 weeks

1972 (64.0)

1017 (66.6)

86,010 (87.9)

195,007 (95.0)

284,006

 

Onset of labourf

     

< 0.001

 Spontaneous

3902 (67.2)

1611 (62.9)

74,825 (76.4)

159,268 (77.7)

239,606

 

 Induced

455 (7.8)

162 (6.3)

11,572 (11.8)

20,638 (10.1)

32,827

 

 Elective C-section

1446 (24.9)

787 (30.7)

11,561 (11.8)

25,054 (12.2)

38,848

 

Mode of deliveryg

     

< 0.001

 Vaginal birth

1575 (50.8)

691 (45.3)

70,422 (71.8)

146,340 (71.3)

219,028

 

 Cesarean section

1525 (49.2)

835 (54.7)

27,701 (28.2)

58,834 (28.7)

88,895

 

Maternal complicationsh

     

< 0.001

 No complications

2606 (84.1)

1312 (86.0)

88,416 (90.1)

194,250 (94.7)

286,584

 

 PLTC

425 (13.7)

200 (13.1)

8567 (8.7)

10,365 (5.1)

19,557

 

 MNM

53 (1.7)

13 (0.9)

921 (0.9)

507 (0.2)

1494

 

 MD

16 (0.5)

1 (0.1)

221 (0.2)

52 (0.0)

290

 

Total

5810

2562

98,128

205,178

311,678

 
 

8372

303,306

  
  1. *design-based p-value
  2. Missing information for: a: 9597; b: 32378; c: 9178; d: 11069; e: 9066; f: 5390; g: 8748; and h: 8746 cases
  3. APO any Adverse Perinatal Outcome (Apgar score at 5th min < 7 OR Perinatal death OR NICU admission OR SGA)
  4. MD maternal death, MNM maternal near miss, PLTC potentially life-threatening condition