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Tuesday, April 24, 2001

Trends in Twin Birth Outcomes and Prenatal Care Utilization


Click here for an archive of this broadcast

Multiple births account for an increasing percentage of all low-birthweight infants, preterm births, and infant mortality in the United States. In this DataSpeak, Dr. Michael Kogan of the Maternal and Child Health Bureau will present the findings of a recently published study exploring trends in twin birth outcomes and prenatal care utilization. Dr. Pierre Buekens of the University of North Carolina School of Public Health will also discuss the implications of these findings for public health practice.


 Agenda (PDF)
 Read questions and answers    (Tips for using WebBoard)
 Handouts, Slideshows and Readings (below)

Slideshows (will display in the browser)

Trends in Twin Birth Outcomes and Prenatal Care Utilization:
Michael Kogan, PhD,
Office of Data and Information Management,
Maternal and Child Health Bureau

Implications for Public Health Practice: An Obstetrician's Perspective:
Pierre Buekens, MD, PhD
Department of Maternal and Child Health,
School of Public Health,
The University of North Carolina at Chapel Hill

 

PowerPoint (PPT) Presentations (download the original PPT file)

Trends in Twin Birth Outcomes and Prenatal Care Utilization:
Michael Kogan, PhD,
Office of Data and Information Management,
Maternal and Child Health Bureau

Implications for Public Health Practice: An Obstetrician's Perspective:
Pierre Buekens, MD, PhD
Department of Maternal and Child Health,
School of Public Health,
The University of North Carolina at Chapel Hill

 

Handouts/Resources/Readings

Kogan MD, Alexander GR, Kotelchuck M, MacDorman MF, Buekens P, Martin JA, Papiernik E. Trends in Twin Birth Outcomes and Prenatal Care Utilization in the United States, 1981-1997. JAMA, 2000; 284(3):335-341.

Kogan MD, Martin JA, Alexander GA, Kotelchuck M, Ventura SJ, Frigoletto FD. The changing pattern of prenatal care utilization in the United States, 1981-1995, using different prenatal care indices. JAMA. 1998;279:1623-1628.

Health Canada. Canadian Perinatal Health Report, 2000. Ottawa: Minister of Public Works and Government Services Canada 2000. Pages xvii to xix and 69-70.
This publication can be accessed at
http://www.hc-sc.gc.ca/hpb/lcdc/brch/reprod.html

Crowther CA, Verkuyl DAA, Neilson JP, et al. The effects of hospitalization for rest on fetal growth, neonatal morbidity and length of gestation in twin pregnancy. British Journal of Obstetrics and Gynaecology 1990;97:872-7.

Crowther CA. Hospitalisation and bed rest for multiple pregnancy (Cochrane Review). In: The Cochrane Library, Issue 1, 2001. Oxford: Update Software.

Joseph KS, Kramer MS, Marcoux S, et al. Determinants of preterm birth rates in Canada from 1981 through 1983 and from 1992 through 1994. New England Journal of Medicine 1998;339:1434-9.

MacLennan AH, Green RC, O'Shea R, et al. Routine hospital admission in twin pregnancy between 26 and 30 weeks' gestation. Lancet 1990;335:267-9.

Villar J, Khan-Neelofur D. Patterns of routine antenatal care for low-risk pregnancy (Cochrane Review). In: The Cochrane Library, Issue 1, 2001. Oxford: Update Software.

 

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