TABLE 5.
Variable | 1989–1991
|
1999–2001
|
AORa
|
Comparison to Singleton AORsb
|
||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Live Births | Infant Deaths | IMRc | Live Births | Infant Deaths | IMR | AOR | 95% CI | P | AOR/AOR | 95% CI | P | |
All gestations | ||||||||||||
Singletons | 1 800 819 | 24 191 | 13.43 | 1 649 176 | 16 943 | 10.27 | 0.717 | 0.700–0.734 | <.0001 | 1.000 | ||
Twins | 49 913 | 2726 | 54.62 | 56 805 | 2399 | 42.23 | 0.616 | 0.569–0.667 | <.0001 | 0.859 | 0.790–0.934 | <.0001 |
Triplets | 801 | 101 | 126.09 | 1421 | 174 | 122.45 | 0.724 | 0.496–1.056 | .101 | 1.009 | 0.691–1.475 | .961 |
≤24 wk | ||||||||||||
Singletons | 9773 | 7311 | 748.08 | 9555 | 6350 | 664.57 | 0.682 | 0.638–0.729 | <.0001 | 1.000 | ||
Twins | 1740 | 1404 | 806.90 | 1982 | 1431 | 722.00 | 0.604 | 0.513–0.710 | <.0001 | 0.885 | 0.743–1.055 | .173 |
Triplets | 63 | 54 | 857.14 | 133 | 107 | 804.51 | 1.069 | 0.487–2.348 | .877 | 1.568 | 0.712–3.453 | .264 |
25–28 wk | ||||||||||||
Singletons | 15 206 | 3394 | 223.20 | 14 338 | 2148 | 149.81 | 0.629 | 0.591–0.670 | <.0001 | 1.000 | ||
Twins | 2417 | 644 | 266.45 | 2846 | 429 | 150.74 | 0.503 | 0.435–0.583 | <.0001 | 0.800 | 0.682–0.938 | .006 |
Triplets | 101 | 31 | 306.93 | 212 | 43 | 202.83 | 0.498 | 0.280–0.887 | .019 | 0.792 | 0.443–1.414 | .430 |
29–32 wk | ||||||||||||
Singletons | 33 066 | 1648 | 49.84 | 27 456 | 947 | 34.49 | 0.699 | 0.642–0.762 | <.0001 | 1.000 | ||
Twins | 5481 | 224 | 40.87 | 6357 | 160 | 25.17 | 0.605 | 0.487–0.752 | <.0001 | 0.865 | 0.685–1.094 | .226 |
Tripletsd | 212 | 7 | 33.02 | 422 | 14 | 33.18 | 0.961 | 0.358–2.574 | .939 | 1.374 | 0.511–3.697 | .529 |
33–36 wk | ||||||||||||
Singletons | 209 736 | 2938 | 14.01 | 176 023 | 1753 | 9.96 | 0.759 | 0.713–0.807 | <.0001 | 1.000 | ||
Twins | 17 364 | 256 | 14.74 | 22 871 | 208 | 9.09 | 0.650 | 0.539–0.783 | <.0001 | 0.856 | 0.704–1.042 | .122 |
Tripletsd,e | 425 | 9 | 21.18 | 654 | 10 | 15.29 | 0.914 | 0.386–2.166 | .843 | 1.205 | 0.507–2.861 | .673 |
37–40 wk | ||||||||||||
Singletons | 1 179 518 | 6814 | 5.78 | 1 165 282 | 4713 | 4.04 | 0.756 | 0.727–0.785 | <.0001 | 1.000 | ||
Twins | 20 339 | 164 | 8.06 | 21 087 | 159 | 7.54 | 1.051 | 0.829–1.333 | .679 | 1.392 | 1.094–1.770 | .007 |
41–43 wk | ||||||||||||
Singletons | 353 520 | 2086 | 5.90 | 256 522 | 1032 | 4.02 | 0.722 | 0.668–0.780 | <.0001 | 1.000 | ||
Twinsd | 2572 | 34 | 13.22 | 1662 | 12 | 7.22 | 0.645 | 0.318–1.308 | .230 | 0.893 | 0.439–1.819 | .756 |
IMR indicates infant mortality rate.
Odds of infant death within each plurality group in 1999 –2001 vs 1989 –1991 adjusted for maternal age (<20, 20 –34, and >34 years), smoking (nonsmoker, smoker, and unknown), and parity (0, 1–3, ≥4, and unknown).
The plurality-specific change in risk of infant death between 1999 –2001 vs 1989 –1991 compared with the change for singletons.
Deaths per 1000 live births.
Rates are based on small numbers (<20 in the numerator) and should be interpreted with caution.
Includes triplets born 33 to 36 weeks and later.