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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, M.J.M.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

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Incidence and birth weight characteristics of twins born to mothers aged 40 years or more compared with 35-39 years old mothers: a population study

Isaac Blickstein / Ran D. Goldman / Ram Mazkereth

Citation Information: Journal of Perinatal Medicine. Volume 29, Issue 2, Pages 128–132, ISSN (Print) 0300-5577, DOI: 10.1515/JPM.2001.016, June 2005

Publication History

Published Online:
2005-06-01

Abstract

Objective: To compare the incidence of twin births and their birth weight characteristics in mothers aged ≥ 40 years with those of mothers aged 35–39 years.

Methods: We used a population-based cohort of Israeli twins delivered between 1993–98 to compare birth weight characteristics of 510 and 2102 twin pairs delivered to mothers aged ≥ 40 years (cases) and 35–39 years (controls), respectively.

Results: The incidence of twin mothers aged 40 years or more increased 50% during the study period, ten times more than mothers aged 35–39. There were significantly more nulliparas (P < .001, OR 1.54, 95% CI 1.2, 1.9) and more para ≥ 4 (P< .004, OR 1.38, 95% CI 1.1, 1.7) among older mothers. Irrespective of parity, there were no significant differences between mean twin birth weight, total twin birth weight < 3000 g, 3000–4999 g, and ≥ 5000 g, and frequencies of very low birth weight neonates.

Conclusions: Twin birth at the age of ≥ 40 years is significantly more likely among either nulliparas or para ≥ 4. Birth weight characteristics of twins delivered to mothers aged ≥ 40 years are not different from those delivered to 35–39 years old mothers.

Citing Articles

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[1]
Isaac Blickstein
Seminars in Neonatology, 2002, Volume 7, Number 3, Page 177
[2]
Hamisu M. Salihu, Muktar H. Aliyu, Russell S. Kirby, and Greg R. Alexander
American Journal of Obstetrics and Gynecology, 2004, Volume 190, Number 2, Page 383
[3]
Muktar H. Aliyu, Sabrina Luke, Ronée E. Wilson, Rakiya Saidu, Amina P. Alio, Hamisu M. Salihu, and Victoria Belogolovkin
Maturitas, 2010, Volume 66, Number 1, Page 88
[4]
Isaac Blickstein and Louis G Keith
American Journal of Obstetrics and Gynecology, 2004, Volume 190, Number 1, Page 170
[5]
R. Crespo, A. Alvir, M. Lapresta, M.P. Andrés, J.M. Campillos, and S. Castán
Clínica e Investigación en Ginecología y Obstetricia, 2012, Volume 39, Number 6, Page 230
[6]
Isaac Blickstein and Louis G Keith
Fertility and Sterility, 2003, Volume 79, Number 3, Page 661
[7]
Isaac Blickstein and Louis G. Keith
Current Opinion in Obstetrics and Gynecology, 2003, Volume 15, Number 2, Page 113
[8]
Cláudia Appleton, Luísa Pinto, Mónica Centeno, Nuno Clode, Conceição Cardoso, and Luís M. Graça
Journal of Perinatal Medicine, 2007, Volume 35, Number 1
[9]
Hamisu M. Salihu, Makeda J. Williams, and Donath Emusu
Obstetrics & Gynecology, 2005, Volume 105, Number 6, Page 1419
[10]
Hamisu M. Salihu, Donath Emusu, Muktar H. Aliyu, Russell S. Kirby, and Greg R. Alexander
Obstetrics & Gynecology, 2004, Volume 103, Number 6, Page 1246
[11]
I. Delbaere, H. Verstraelen, S. Goetgeluk, G. Martens, C. Derom, D. De Bacquer, G. De Backer, and M. Temmerman
Human Reproduction, 2008, Volume 23, Number 9, Page 2145
[12]
Hamisu M. Salihu, Muktar H. Aliyu, Tabia H. Akintobi, Bosny J. Pierre-Louis, Russell S. Kirby, and Greg R. Alexander
Archives of Gynecology and Obstetrics, 2005, Volume 271, Number 2, Page 132
[13]
Prenatal Diagnosis, 2001, Volume 21, Number 9, Page 794

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