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  1. Causes of mortality in twins in a rural region of The Gambia, West Africa.

    Article - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0464038

    Code Inist : 002B30A01A2. Création : 19/02/1999.