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Trends in Twin Birth Outcomes and Prenatal Care Utilization in the United States, 1981-1997
Author(s) -
Michael D. Kogan
Publication year - 2000
Publication title -
jama
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.688
H-Index - 680
eISSN - 1538-3598
pISSN - 0098-7484
DOI - 10.1001/jama.284.3.335
Subject(s) - medicine , obstetrics , prenatal care , low birth weight , birth weight , population , gestational age , infant mortality , pregnancy , birth rate , small for gestational age , pediatrics , fertility , environmental health , biology , genetics
Multiple births account for an increasing percentage of all low-birth-weight infants, preterm births, and infant mortality in the United States. Since 1981, the percentage of women with multiple births who received intensive prenatal care (defined as a high number of visits, exceeding the recommendation of the American College of Obstetricians and Gynecologists by approximately 1 SD beyond the mean number of visits for women initiating care within each trimester) has increased significantly.

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