alexa Increasing twinning rates in Norway, 1967-2004: the influence of maternal age and assisted reproductive technology (ART).
Reproductive Medicine

Reproductive Medicine

Gynecology & Obstetrics

Author(s): Tandberg A, Bjrge T, Brdahl PE, Skjaerven R

Abstract Share this page

BACKGROUND: The incidence of twin pregnancies is increasing in industrialized countries, including Norway. In the present nationwide study from Norway, we aimed at evaluating the effect of assisted reproductive technologies and delayed childbearing age on this epidemic rise. MATERIAL AND

METHOD: Altogether 2.19 million pregnancies, including 27,849 twin pairs and higher-order multiples, were included in this population-based study with data from the Medical Birth Registry of Norway covering the years 1967-2004. The study period was divided into two, 1967-87 and 1988-2004, respectively. For the last time period, pregnancies from assisted reproductive technologies were available through a separate registration, and these data were linked with the Medical Birth Registry of Norway birth record. Additionally, we compared the twinning rates from natural conception in the two time periods in relation to maternal age. Logistic regression was used for adjusted odds ratio estimation.

RESULTS: During 1967-1987, the twinning rate remained constant at 1.0% of the total number of births in Norway. Thereafter, the total twinning rate increased from 1.1% in 1988 to 1.9% in 2004. After excluding pregnancies from assisted reproductive technologies, the increase was from 1.1% to 1.6% in this period. There was a significantly higher twinning rate in all age groups in the time period 1988-2004 compared with 1967-1987. In naturally conceived pregnancies, OR for twins were 1.11 (95% CI 1.05-1.17) in the age group 20-24 years, 1.25 (95% CI 1.19-1.31) in the age group 30-34, and 1.36 (95% CI 1.11-1.67) in the age group 40-44 comparing the two time periods.

CONCLUSIONS: The multiple pregnancy rate increased by 50% in Norway during the time period 1988-2004, even when twin pregnancies from assisted reproduction were excluded. Maternal age and assisted reproductive technologies cannot alone satisfactorily explain the rise in the twinning rate in Norway.

This article was published in Acta Obstet Gynecol Scand and referenced in Gynecology & Obstetrics

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

1-702-714-7001Extn: 9037

Business & Management Journals


1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

1-702-714-7001 Extn: 9042

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version