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Exact(7)
The great majority of primates, humans included, fit into this category; multiple births among them are exceptional and occur with decreasing frequency from twins on.
Although statistically significant only at 10% the data shows a higher incidence of multiple births among individuals with no valid national health insurance.
Indirect evidence of the impact of infertility insurance on ART utilisation is provided, among others, by studies showing an increase in multiple births among white women (Bitler 2005; Bundorf et al. 2007) and a higher prevalence of unhealthy twins (Bitler 2005).
There were no differences in offspring gender or proportion of multiple births among cases and controls.
Sampling weights were used to account for the over-sampling of multiple births among the term group.
Substantial differences were seen by socioeconomic deprivation with a lower rate of multiple births among women from the most deprived areas and this was most evident among women over 35 years of age.
Similar(53)
In our California studies, we observed increased cancer risk among the offspring of multiple births, particularly among embryonal tumors; this may support associations with infertility treatment [ 6, 35– 35].
Additionally, we noted a significantly higher number of multiple births reported among cases compared to controls (8.4 % among the cases; 4.0 % and 3.8 % among the interviewed and birth certificate control groups, respectively).
Normal birth weight infants and singleton births were used as markers for births that were potentially low risk for cesarean delivery, because low/high birth weight and multiple births are among the main obstetric variables that have been documented to increase risk of cesareans.
Since low or high birth weight and multiple births are among the main obstetric variables documented in the literature to increase risk of cesarean delivery,,, these 2 variables were used in this analysis as markers for births that were potentially at low risk for cesarean delivery (while recognizing that this may not always be the case).
Relative risks (RR) with 95% confidence intervals (95% CI) were estimated using Poisson regression to represent the ratio of the prevalence of cases (or affected pregnancies) with DS among multiple births relative to the prevalence among singleton births.
Related(20)
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