{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T17:51:15Z","timestamp":1769881875748,"version":"3.49.0"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T00:00:00Z","timestamp":1673222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the association between gestational age at delivery and postpartum severe acute maternal morbidity (SAMM) in twin pregnancies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Secondary analysis of the JUMODA cohort, a national, prospective, population\u2010based study of twin pregnancies in France. We excluded women with delivery before 32\u2009weeks of pregnancy, with a fetal death or medical termination, with antepartum SAMM, or with antepartum conditions responsible for postpartum SAMM. The primary outcome was a composite of postpartum SAMM. We assessed the association between gestational age at delivery and SAMM by using multivariable multilevel modified Poisson regression modeling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 7713 women included, 410 (5.3%) developed postpartum SAMM. Compared with the reference category of 37\u2009weeks of pregnancy, the risk of postpartum SAMM was significantly lower for all categories of earlier gestational age at delivery (from an adjusted relative risk [RR] of 0.34, 95% confidence interval [CI] 0.17\u20130.68 at 32\u2009weeks to an adjusted RR of 0.71, 95% CI 0.54\u20130.94 at 36\u2009weeks), and did not differ for later gestational ages.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In twin pregnancies, compared with delivery at 37\u2009weeks of pregnancy, delivery at earlier gestational ages was associated with a lower risk of postpartum SAMM. Continuing pregnancy beyond 37\u2009weeks of pregnancy is not associated with an increased risk of postpartum SAMM.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14628","type":"journal-article","created":{"date-parts":[[2022,12,17]],"date-time":"2022-12-17T06:54:40Z","timestamp":1671260080000},"page":"1019-1027","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Postpartum severe acute maternal morbidity according to gestational age at delivery in twin pregnancies: A prospective cohort study"],"prefix":"10.1002","volume":"161","author":[{"given":"Lola","family":"Loussert","sequence":"first","affiliation":[{"name":"Universit\u00e9 de Paris Centre for Research in Epidemiology and Statistics (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team \u2010 INSERM U1153  Paris France"},{"name":"Department of Obstetrics and Gynecology CHU Toulouse  Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Deneux\u2010Tharaux","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris Centre for Research in Epidemiology and Statistics (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team \u2010 INSERM U1153  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aur\u00e9lien","family":"Seco","sequence":"additional","affiliation":[{"name":"Clinical Research Unit Necker Cochin APHP  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7ois","family":"Goffinet","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris Centre for Research in Epidemiology and Statistics (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team \u2010 INSERM U1153  Paris France"},{"name":"Port\u2010Royal Maternity Unit, Cochin Hospital APHP  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane","family":"Korb","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris Centre for Research in Epidemiology and Statistics (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team \u2010 INSERM U1153  Paris France"},{"name":"Department of Obstetrics and Gynecology Robert Debr\u00e9 Hospital APHP  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris Centre for Research in Epidemiology and Statistics (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team \u2010 INSERM U1153  Paris France"},{"name":"Department of Obstetrics and Gynecology Robert Debr\u00e9 Hospital APHP  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"for the JUmeaux MODe d'Accouchement (JUMODA) study group and the Groupe de Recherche en Obst\u00e9trique et Gyn\u00e9cologie (GROG)","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,1,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2017.09.002"},{"key":"e_1_2_9_3_1","unstructured":"Birth characteristics \u2010 Office for National Statistics. 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