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Is prevention of preterm births in twin pregnancies possible? Analysis of the results of a prevention program in France (1989–1991)

Identifieur interne : 000170 ( OpenAccess/Analysis ); précédent : 000169; suivant : 000171

Is prevention of preterm births in twin pregnancies possible? Analysis of the results of a prevention program in France (1989–1991)

Auteurs : J. Tafforeau [Belgique] ; E. Papiernik [France] ; A. Richard [France] ; J. C. Pons [France]

Source :

RBID : ISTEX:5C60B12AE8A6B6EE59DB3DECC54E9A53CB507E6B

Descripteurs français

English descriptors

Abstract

Objectives: A policy aimed at the prevention of early preterm births in twin pregnancies has been evaluated. The prevention program included: early diagnosis of twinning, information of the mothers about the risk of prematurity, attempts to restrain physical activity and early work leave prescription when indicated. Study design: Cohort study of all twin births in a given geographical area (Hauts-de-Seine district); 546 mothers with pregnancy duration of ≥ 26 weeks were included; 1088 newborns were followed up to the 28th day of life. The recommended prevention program is largely used (88% of early diagnosis of twinning, 62% of the women informed and 73% of prescription for reduced physical activity). The very preterm (26–28 weeks) and early preterm (≤32 weeks) birth rates are low: 1.5 and 8.5%, respectively. The stillbirth rate is 11 per thousand and the neonatal mortality rate (0–27 days) is 10 per thousand live births, with a persistent difference between the first and the second twin. The present study demonstrates the open access and acceptability of the prevention policy; in addition, the perinatal outcomes are better than those of comparable published cohorts.

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DOI: 10.1016/0028-2243(95)02048-W


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ISTEX:5C60B12AE8A6B6EE59DB3DECC54E9A53CB507E6B

Le document en format XML

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