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Is the Quality of Care in Twins and in Singletons Related?

Published online by Cambridge University Press:  01 August 2014

P. Buekens ,
R. Derom ,
M. Dramaix ,
M. Kavadias  and
M. Thiery
P. Buekens*
Affiliation:
Laboratory of Epidemiology and Social Medicine, Free University of Brussels
R. Derom
Affiliation:
Department of Obstetrics, State University of Gent
M. Dramaix
Affiliation:
Laboratory of Epidemiology and Social Medicine, Free University of Brussels
M. Kavadias
Affiliation:
Department of Cardiac Research and Engineering, Free University of Brussels, Belgium
M. Thiery
Affiliation:
Department of Obstetrics, State University of Gent
*
Ecole de Santé Publique, Université Libre de Bruxelles, Route de Lennik 808, 1070 Brussels, Belgium

Abstract

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We investigated if it is possible to use the data collected in twins to identify areas with high rates of operative deliveries, preterm deliveries and low birthweight infants in singletons. Our data correspond to all deliveries registered in Belgium in 1983. A significant correlation was found between the rates of cesarean sections in twins and in singletons. A significant correlation was also found between the rate of deliveries at a gestational age of less than 32 weeks in twins and the rate of deliveries at less than 37 weeks in singletons. However, correlations between other preterm rates, low birthweight rates and vacuum extraction or forceps rates, were nonsignificant. We conclude that the use of twins as tracers of the quality of care in singletons is of limited value.

Keywords

Twin deliveryBirthweightPreterm deliveryCesarean section
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 37 , Issue 1 , January 1988 , pp. 31 - 33
Copyright
Copyright © The International Society for Twin Studies 1988

References

REFERENCES

1.Buekens, P (1984): The use of tracer conditions to assess the quality of perinatal care. In Clinch, J, Matthews, T (eds): Perinatal Medicine. Lancaster: MTP Press, pp 243–246.Google Scholar
2.Chalmers, I, Mc Ilwaine, G (eds) (1980): Perinatal Audit and Surveillance. London: Royal College of Obstetricians and Gynaecologists.Google Scholar
3.Demlo, LK (1983): Assurging quality of health care. An overview. Eval Health Prof 6:161–196.Google Scholar
4.Kessner, DM, Kalk, CE, Singer, J (1973): Assessing health quality. The case for tracers. N Engl J Med 288:189–194.Google Scholar
5.Ministry of Health, Belgium. Provisionai data.Google Scholar
6.Siegels, S (1956): Nonparametric Statistics for the Behavioral Sciences. New York: Mac Graw-Hill.Google Scholar