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Early delivery improves mortality among twins.(Obstetrics)
RENO, NEV. -- Obstetricians are delivering more sets of twins early--a trend that is improving neonatal mortality, Cande V. Ananth, Ph.D., said at the annual meeting of the Society for Maternal-Fetal Medicine.
Black twins, however, are not benefiting equally by this more aggressive practice. According to federal statistics, 44% of white and 53% of black twin births occurred before 37 weeks' gestation in 1989. In 2000, those percentages rose to 57% for whites and 61% for blacks.
These increases largely reflected obstetricians' decisions to deliver twin infants early--but more so among whites, said Dr. Ananth of the department of obstetrics and gynecology at the University of Medicine and Dentistry of New Jersey, New Brunswick.
Medically indicated preterm delivery among white twins rose 51% for the 11-year period, and 33% among black twins.
Among the whites, this medically indicated early delivery significantly affected perinatal mortality, defined as stillbirth after 22 weeks' ...
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Source: HighBeam Research, Early delivery improves mortality among twins.(Obstetrics)