beim Thema Geburt wirds hier eben schnell emotional. Das hatten wir ja auch schon (ein paar?) mal...
Da wird dann eben mal dünne Evidenz durch Vehemenz in der Argumentation ausgeglichen.
Ich versuche mich mal an ner Versachlichung...
Infant Mortality Statistics from the 2003 Period Linked Birth/Infant Death Data Set https://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_16.pdf
Zitatfor multiple births, the infant mortality rate was 30.99, more than five times the rate of 6.01 for single births ( Tables 1 and 2). Infant mortality rates for multiple births were higher than rates for single births for all race and Hispanic-origin groups, except for Cubans for whom rates could not be reliably computed due to small numbers of events. The risk of infant death increases with the increasing number of infants in the pregnancy . In 2003, the infant mortality rate for twins (28.66) was nearly five times the rate for single births (6.01). The rate for triplets (62.23) was 10 times, the rate for quadruplets (156.41) 26 times, and the rate for quintuplets and higher order births (242.86) was 40 times higher than the rate for single births (tabular data not shown). For twins, the infant mortality rate declined significantly from 2002 (30.20) to 2003 (28.66). No other plurality group had a significant change in infant mortality from the year before. Multiple pregnancy can lead to an accentuation of maternal risks and complications associated with pregnancy (3,8,9). For example, multiple births are much more likely to be born preterm and at low birthweight than single births (3,8,9). The higher risk profile of multiplbirths has a substantial impact on overall infant mortality (7,8,10). For example, in 2003 multiples accounted for 3 percent of all live births, but 15 percent of all infant deaths in the U.S. ( Table 1).
Güngur. MATERNAL AND NEONATAL OUTCOME OF TRIPLET VERSUS TWIN AND SINGLETON PREGNANCIES (http://medicaljournal.gazi.edu…/article/viewFile/236/234)
Zitat30 /35 (85.7%) of the triplets were delivered by cesarean section, whereas 25/35 (73.5%) of the twins and 13/35 (34.2%) of the singletons were delivered by cesarean (p<0.001). There was increased maternal morbidity in triplet pregnancies like uterine atony, anemia, and febrile morbidity, but they did not reach statistical significance. Although all deliveries were preterm, in the evaluation of neonatal outcomes by 1 and 5 minute Apgar scores, singletons’ 1 and 5 minute Apgar scores were significantly higher than those of twins and triplets (p<0.005). However, there was no statistically significant difference between twins and triplets according to their Apgar scores (p>0.05).
Auch lesenswert: Pat Doyle: The outcome of multiple pregnancy;
Elster. Less is more: the risks of multiple births. The Institute for Science, Law, and Technology Working Group on Reproductive Technology. Fertil Steril. 2000 Oct;74(4):617-23.
Die letzten Zahlen die ich dazu finden konnte aus Deutschland (2016):
Variations in Multiple Birth Rates and Impact on Perinatal Outcomes in Europe. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4773186/)
ZitatFetal mortality >= 28 weeks Singleton 2.2 / 1000
Fetal mortality >= 28 weeks Multiples 4.4 / 1000
wenig speziell zu Drillingen aber vll. trotzdem interessant: https://www.aerzteblatt.de/arc…e-Probleme-von-Mehrlingen
ciao,
madde