{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:13:51Z","timestamp":1747149231566,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000},"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":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the mother\u2013child separation rate in twin pregnancies delivered in maternity units offering an appropriate level of neonatal care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>JUMODA is a French, prospective, population\u2010based cohort study of twin deliveries, including 7998 women who gave birth in maternity units with appropriate levels of neonatal care based on thresholds for weeks of gestational age (wGA) and birth weight according to French guidelines: level I (\u226536\u2009wGA), IIA (\u226534\u2009wGA), IIB (\u226532\u2009wGA and \u2265\u20091500\u2009g), and IIII (&lt;32\u2009wGA or\u2009&lt;\u20091500\u2009g). The primary outcome was mother\u2013child separation, defined as the transfer of at least one twin or the mother to another hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mother\u2013child separation occurred in 2.1% of pregnancies. This rate was significantly higher in level I (4.8%, 95% confidence interval [CI] 1.5\u201312.5) and IIA (3.4%, 95% CI 2.4\u20134.7) compared with level IIB (1.6%, 95% CI 1.1\u20132.3) and level III maternity units (2.1%, 95% CI 1.9\u20132.8). In level IIA units, the rate of mother\u2013child separation was higher for babies born between 34 and 36\u2009wGA (8.3%) than for those born at 36 wGA or beyond (1.7%). In level IIb, the rate of mother\u2013child separation for babies born between 32 and 34 wGA (7.5%) was higher than for those born between 34 and 36 wGA (2.1%) and at 36 wGA or beyond (0.9%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Mother\u2013child separation rates were low but differed by level of care. By using specific thresholds for twins to define levels of care, rather than data from singleton births, one\u2010fifth of mother\u2013child separations could have been avoided.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14851","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T07:49:39Z","timestamp":1684309779000},"page":"563-571","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mother\u2013child separation after twin birth in a maternity unit with an appropriate level of neonatal care"],"prefix":"10.1002","volume":"163","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3729-6920","authenticated-orcid":false,"given":"Victoire","family":"Pauphilet","sequence":"first","affiliation":[{"name":"Assistance Publique\u2010H\u00f4pitaux de Paris, H\u00f4pital Robert Debr\u00e9, Service de Gyn\u00e9cologie Obst\u00e9trique  Paris France"},{"name":"Universit\u00e9 de Paris  Paris France"},{"name":"INSERM, U1153, Epidemiology and Biostatistics Sorbonne Paris Cit\u00e9 Research Center, Obstetrical, Perinatal and Pediatric Epidemiology Team  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7ois","family":"Goffinet","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris  Paris France"},{"name":"INSERM, U1153, Epidemiology and Biostatistics Sorbonne Paris Cit\u00e9 Research Center, Obstetrical, Perinatal and Pediatric Epidemiology Team  Paris France"},{"name":"Assistance Publique\u2010H\u00f4pitaux de Paris, Maternit\u00e9 Port\u2010Royal  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane","family":"Korb","sequence":"additional","affiliation":[{"name":"Assistance Publique\u2010H\u00f4pitaux de Paris, H\u00f4pital Robert Debr\u00e9, Service de Gyn\u00e9cologie Obst\u00e9trique  Paris France"},{"name":"Universit\u00e9 de Paris  Paris France"},{"name":"INSERM, U1153, Epidemiology and Biostatistics Sorbonne Paris Cit\u00e9 Research Center, Obstetrical, Perinatal and Pediatric Epidemiology Team  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Zeitlin","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris  Paris France"},{"name":"INSERM, U1153, Epidemiology and Biostatistics Sorbonne Paris Cit\u00e9 Research Center, Obstetrical, Perinatal and Pediatric Epidemiology Team  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helo\u00efse","family":"Torchin","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris  Paris France"},{"name":"INSERM, U1153, Epidemiology and Biostatistics Sorbonne Paris Cit\u00e9 Research Center, Obstetrical, Perinatal and Pediatric Epidemiology Team  Paris France"},{"name":"Assistance Publique\u2010H\u00f4pitaux de Paris, Maternit\u00e9 Port\u2010Royal  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Assistance Publique\u2010H\u00f4pitaux de Paris, H\u00f4pital Robert Debr\u00e9, Service de Gyn\u00e9cologie Obst\u00e9trique  Paris France"},{"name":"Universit\u00e9 de Paris  Paris France"},{"name":"INSERM, U1153, Epidemiology and Biostatistics Sorbonne Paris Cit\u00e9 Research Center, Obstetrical, Perinatal and Pediatric Epidemiology Team  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":[[2023,5,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2017.09.002"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003261"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.06.014"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(02)00435-9"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0368-2315(09)73561-6"},{"key":"e_1_2_11_7_1","unstructured":"Femmes enceintes ayant une complication au cours de leur grossesse: transferts en urgence entre les \u00e9tablissements de sant\u00e9. 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