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Human Reproduction Update, Vol.5, No.2 pp.179-187, 1999
© European Society of Human Reproduction and Embryology 1999; all rights reserved

The epidemiology of multiple births

R Bortolus0, F Parazzini0,1,2, L Chatenoud0, G Benzi1, MM Bianchi0 and A Marini3

0 Istituto di Ricerche Farmacologiche 'Mario Negri', Via Eritrea 62, 20157 Milan, Italy 1 Prima Clinica Ostetrico Ginecologica, Università di Milano, 20100 Milan, Italy 3 Servizio di Ecografia, Divisione Ostetrico Ginecologica, Azienda Ospedaliera di Padova, 35100 Padova, Italy 2 Corresponding author at: Istituto 'Mario Negri', Via Eritrea 62, 20157 Milan, Italy

Abstract

On the basis of MEDLINE and manual searches, we examined the main papers in the English literature regarding risk factors for spontaneous (i.e. not related to fertility drug use) multiple births. The constant frequency of monozygotic (MZ) pregnancies over time and in different geographical areas suggests that the determination of MZ twins is largely unchanged over time, and that a genetic mechanism may have a role. In contrast, temporal and geographical trends observed in dizygotic (DZ) pregnancies suggest that environmental factors play a role in determining this condition. At present, maternal age and hereditary components are the best-defined determinants for spontaneous multiple births.

Keywords: epidemiology/multiple births/risk factors


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