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Women’s health and midwifery
Despite facing greater postpartum mortality, mothers to twins may possess higher survival odds in old age than singleton mothers
  1. Michael Phillipi1,
  2. Aaron B Caughey2
  1. 1California University of Science and Medicine, Colton, California, USA
  2. 2OB Gyn, OHSU, Portland, Oregon, USA
  1. Correspondence to Dr Aaron B Caughey; caughey{at}ohsu.edu

https://doi.org/10.1136/ebnurs-2024-104195

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    Commentary on: Meitern R, Gortfelder M, Puur A, et al. Mothers of twins had higher old-age survival than mothers of singletons in Estonian 19th-century birth cohorts. Hum Reprod. 2024 Sep 1;39(9):2124-2133. doi: 10.1093/humrep/deae166. PMID: 39067454.

    Implications for practice and research

    • While twin pregnancies may be associated with higher postpartum mortality, mothers to twins may experience higher survival odds after the age of 80.

    • Future research should explore the lifespans of mothers with a history of twin pregnancy versus those with a history of singleton pregnancy in more diverse and modern populations.

    Context

    Although twin pregnancies have been shown to increase postpartum maternal mortality, the evidence regarding the impact on long-term survival of mothers after twin pregnancies is limited.1 A study of Finnish women showed mothers who had delivered twins had reduced survival after the age of 65 compared with mothers who had singleton …

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    Footnotes

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.