By James P Neilson
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Sample text
It also shows that the countries with the highest rates of triplet and higher-order births were not necessarily the same. The highest rate was observed in Spain, followed by Germany, the French-speaking community of Belgium, Ireland and Italy. This reflects the relatively small contribution made by triplet and higherorder births to the overall number of multiple births. In addition, rates for small countries, such as the Republic of Ireland, fluctuate considerably from year to year, as a result of the effect of random variation on the low numbers of triplet and higher-order maternities.
2). On average, quadruplets were born approximately 2000 g lighter and 2 months earlier than singletons. 1). Correspondingly, percentages of preterm, very preterm, low birth weight and very low birth weight were the lowest for singletons and were significantly different and progressively higher among multiple birth orders. 2). 2), using the 10th centile of birth weight for gestational age of US singletons 17. The proportion of small for gestational age was not significantly different among the multiple birth groups.
Pediatrics 2003;111:1159–62 9. Jewell SE, Yip R. Increasing trends in plural births in the United States. Obstet Gynecol 1995;85:229–32 10. Misra DP, Ananth CV. Infant mortality among singletons and twins in the United States during 2 decades: effects of maternal age. Pediatrics 2002;110:1163–8 11. National Center for Health Statistics. 1995–1998 Matched Multiple Birth Data Set. CD-ROM Series 21, No 13a. Hyattsville, MD: Public Health Service, January 2003 12. National Center for Health Statistics.