Little is known about birth or mortality rates of twins in The Gambia.
There are no reports of the causes of death among twins in sub-Saharan Africa.
We identified twin births and deaths from a community-based study which had been carried out in a large rural region of The Gambia over a 5-year period from 1989 to 1993.
The overall twinning rate excluding stillbirths was 14.3 (95% CI 12.9,15.8) per 1000 live deliveries.
This was significantly lower among the Mandinka ethnic group (8.8 per 1000) than among the Serahulis (15.1 per 1000) or Fulas (18.3 per 1000).
The early-neonatal, late-neonatal and post-neonatal twin mortality rates were 114.0,45.9 and 64.2 per 1000 live twin births, respectively.
In comparison, the early-neonatal, late-neonatal and post-neonatal mortality rates of singletons were 18.6,16.0 and 41.1 per 1000, respectively.
In the post-neonatal period, malnutrition was more frequently a cause of death among twins than among singletons (7.8 per 1000 twin births vs 2.0 per 1000 singleton births ; p=0.0008).
Appropriate strategies for preventing malnutrition are required for this high-risk group.
Mots-clés Pascal : Mortalité, Etiologie, Jumeau, Gambie, Afrique, Nouveau né, Homme, Epidémiologie
Mots-clés Pascal anglais : Mortality, Etiology, Twin, Gambia, Africa, Newborn, Human, Epidemiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0464038
Code Inist : 002B30A01A2. Création : 19/02/1999.