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[Higher order multiple births in the course of time]
H Grützner1, P Grützner, B Grützner
1ABC Club e. V., Darmstadt.
Geburtshilfe Und Frauenheilkunde
|May 1, 1990
Summary
Fertility drug treatments have increased multiple births since 1980, often leading to premature births and lower birth weights. Careful use of hormones is advised to prevent high-order multiple pregnancies.
Area of Science:
- Reproductive Medicine
- Perinatology
- Public Health
Context:
- Multiple births have significantly increased since 1980.
- Interviews with 601 families with multiples reveal trends.
- Fertility drug treatments are a primary cause in most cases.
Purpose:
- To investigate the causes and outcomes of increased multiple births.
- To analyze the impact of fertility treatments on pregnancy duration and birth weight.
- To highlight the risks associated with high-order multiple gestations.
Summary:
- Interviews with 289 mothers indicate fertility drugs are the main cause of modern multiple births.
- These pregnancies frequently result in premature delivery, reduced gestation periods, and lower birth weights.
- High rates of infant mortality or disability are observed, though healthy multiples exist.
Impact:
- Stresses the unpredictable nature of multiple gestations.
- Advises against selective abortions as a solution.
- Recommends extreme caution with hormone use to prevent high-order multiples.