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Multiple pregnancy in the Maltese population.

C Savona-Ventura1, E S Grech

  • 1Department of Obstetrics and Gynaecology, University of Malta, St. Luke's Hospital.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|February 1, 1988
PubMed
Summary

Multiple birth rates on the Maltese Islands have slightly decreased since 1959. Multiple pregnancies, often in older, multiparous women, result in higher risks of operative delivery, premature birth, and increased perinatal mortality.

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Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Epidemiology
  • Perinatal Health

Background:

  • Understanding trends in multiple births is crucial for maternal and infant health planning.
  • Previous data on multiple birth incidence in Malta is limited, necessitating updated analysis.

Purpose of the Study:

  • To analyze multiple birth statistics in the Maltese Islands from 1959 onwards.
  • To examine specific variables related to hospital twin births between 1983-1985.
  • To assess outcomes and risks associated with multiple pregnancies in the region.

Main Methods:

  • Retrospective analysis of multiple birth data for the Maltese Islands since 1959.
  • Detailed examination of hospital twin births from 1983 to 1985.
  • Calculation of incidence rates and dizygotic to monozygotic twinning ratios.

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Main Results:

  • A slight decrease in the incidence of multiple pregnancy observed since 1959, with an overall rate of 10.21 per 1000 maternities.
  • The ratio of dizygotic to monozygotic twinning was found to be 1.64.
  • Multiple pregnancies are associated with older maternal age, multiparity, higher rates of operative delivery, premature birth, low birth weight infants, and significantly increased perinatal mortality compared to singleton births.

Conclusions:

  • Multiple birth rates in Malta show a slight declining trend.
  • Multiple pregnancies present substantial risks to both mother and infant, including prematurity and higher mortality.
  • These findings underscore the need for specialized care and monitoring for multiple pregnancies.