{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:52:27Z","timestamp":1791496347973,"version":"4.3.4"},"reference-count":41,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejog.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.ejogrb.2026.115187","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T02:23:56Z","timestamp":1778552636000},"page":"115187","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Pregnancy, delivery, and neonatal outcomes in women with uterine fibroids carrying singleton vs. multiple gestations: A retrospective population database cohort study"],"prefix":"10.1016","volume":"323","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8927-229X","authenticated-orcid":false,"given":"Jenna","family":"Gregory","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Badeghiesh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haitham","family":"Baghlaf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael H.","family":"Dahan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.ejogrb.2026.115187_b0005","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1002\/ijgo.13102","article-title":"Epidemiology and management of uterine fibroids","volume":"149","author":"Giuliani","year":"2020","journal-title":"Int J Gynaecol Obstet"},{"issue":"3","key":"10.1016\/j.ejogrb.2026.115187_b0010","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1097\/AOG.0b013e318197bbaf","article-title":"Prevalence of uterine leiomyomas in the first trimester of pregnancy: an ultrasound-screening study","volume":"113","author":"Laughlin","year":"2009","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2026.115187_b0015","unstructured":"Stanford Children\u2019s Health. www.stanfordchildrens.org. https:\/\/www.stanfordchildrens.org\/en\/topic\/default?id=overview-of-multiple-pregnancy-85-P08019."},{"key":"10.1016\/j.ejogrb.2026.115187_b0020","unstructured":"Florence AM, Fatehi M. Leiomyoma. Nih.gov. Published July 17, 2023. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538273\/."},{"issue":"8","key":"10.1016\/j.ejogrb.2026.115187_b0025","doi-asserted-by":"crossref","first-page":"2145","DOI":"10.1007\/s43032-021-00656-6","article-title":"Uterine fibroids and pregnancy: how do they affect each other?","volume":"29","author":"Coutinho","year":"2022","journal-title":"Reprod Sci"},{"key":"10.1016\/j.ejogrb.2026.115187_b0030","doi-asserted-by":"crossref","unstructured":"Seetho S, Kongwattanakul K, Saksiriwuttho P, Thepsuthammarat K. Epidemiology and factors associated with preterm births in multiple pregnancy: a retrospective cohort study.BMC Pregnancy Childbirth. 2023;23(1):872. Published 2023 Dec 18. doi:10.1186\/s12884-023-06186-0.","DOI":"10.1186\/s12884-023-06186-0"},{"key":"10.1016\/j.ejogrb.2026.115187_b0035","unstructured":"John Hopkins Medicine. Complications of Multiple Pregnancy. www.hopkinsmedicine.org. Published 2023. https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/staying-healthy-during-pregnancy\/complications-of-multiple-pregnancy."},{"key":"10.1016\/j.ejogrb.2026.115187_b0040","unstructured":"Older women more likely to conceive twins. www.uwa.edu.au. https:\/\/www.uwa.edu.au\/news\/Article\/2020\/May\/Older-women-more-likely-to-conceive-twins."},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115187_b0045","doi-asserted-by":"crossref","first-page":"80.e1","DOI":"10.1016\/j.ajog.2017.03.002","article-title":"The role of maternal age in twin pregnancy outcomes","volume":"217","author":"McLennan","year":"2017","journal-title":"Am J Obstet Gynecol"},{"issue":"10","key":"10.1016\/j.ejogrb.2026.115187_b0050","doi-asserted-by":"crossref","first-page":"2349","DOI":"10.1007\/s10815-022-02603-z","article-title":"Monozygotic twin rate among ART centers: a multicenter analysis of data from 18 Italian units","volume":"39","author":"Scaravelli","year":"2022","journal-title":"J Assist Reprod Genet"},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115187_b0055","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.fertnstert.2011.04.054","article-title":"Socioeconomic disparities in the use and success of fertility treatments: analysis of data from a prospective cohort in the United States","volume":"96","author":"Smith","year":"2011","journal-title":"Fertil Steril"},{"issue":"3 Pt 1","key":"10.1016\/j.ejogrb.2026.115187_b0060","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1111\/j.1475-6773.2006.00640.x","article-title":"Utilization of infertility services: how much does money matter?","volume":"42","author":"Farley Ordovensky Staniec","year":"2007","journal-title":"Health Serv Res"},{"issue":"5","key":"10.1016\/j.ejogrb.2026.115187_b0065","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1097\/HJH.0000000000002729","article-title":"Uterine fibroids increase the risk of hypertensive disorders of pregnancy: a prospective cohort study","volume":"39","author":"Chen","year":"2021","journal-title":"J Hypertens"},{"key":"10.1016\/j.ejogrb.2026.115187_b0070","unstructured":"https:\/\/www.facebook.com\/usafibroidcntrs. How Heart Health And Fibroids Are Related. USA Fibroid Centers. Published January 30, 2025. Accessed February 7, 2026. https:\/\/www.usafibroidcenters.com\/blog\/how-heart-health-and-fibroids-are-related\/."},{"issue":"4","key":"10.1016\/j.ejogrb.2026.115187_b0075","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1111\/jch.13253","article-title":"The risk of hypertension and cardiovascular disease in women with uterine fibroids","volume":"20","author":"Haan","year":"2018","journal-title":"J Clin Hypertens (Greenwich)"},{"issue":"6","key":"10.1016\/j.ejogrb.2026.115187_b0080","doi-asserted-by":"crossref","first-page":"e145","DOI":"10.1097\/AOG.0000000000004397","article-title":"Twin, triplet, and higher-order multifetal pregnancies: ACOG practice bulletin, number 231","volume":"137","author":"Gestations","year":"2021","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2026.115187_b0085","doi-asserted-by":"crossref","unstructured":"Narang K, Szymanski LM. Multiple gestations and hypertensive disorders of pregnancy: what do we know?.Curr Hypertens Rep. 2020;23(1):1. Published 2020 Nov 18. doi:10.1007\/s11906-020-01107-4.","DOI":"10.1007\/s11906-020-01107-4"},{"key":"10.1016\/j.ejogrb.2026.115187_b0090","doi-asserted-by":"crossref","unstructured":"Amiri FN, Faramarzi M, Bakhtiari A, Omidvar S. Risk factors for gestational diabetes mellitus: a case-control study.Am J Lifestyle Med. 2018;15(2):184-190. Published 2018 Aug 9. doi:10.1177\/1559827618791980.","DOI":"10.1177\/1559827618791980"},{"key":"10.1016\/j.ejogrb.2026.115187_b0095","doi-asserted-by":"crossref","unstructured":"Barik A, Singh V, Choudhary A, Yadav P. Central placenta previa with coexisting central cervical fibroid in pregnancy: an obstetrician's nightmare.Cureus. 2021;13(6):e15910. Published 2021 Jun 24. doi:10.7759\/cureus.15910.","DOI":"10.7759\/cureus.15910"},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115187_b0100","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1186\/s12884-024-06545-5","article-title":"The influence of uterine fibroids on adverse outcomes in pregnant women: a meta-analysis","volume":"24","author":"Li","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.ejogrb.2026.115187_b0105","doi-asserted-by":"crossref","unstructured":"Zhou S, Yang Y, Zhang X, et al. Perinatal outcomes of twin pregnancies with preterm premature rupture of the membranes at 24-34weeks' gestation.Sci Rep. 2021;11(1):23419. Published 2021 Dec 3. doi:10.1038\/s41598-021-02884-x.","DOI":"10.1038\/s41598-021-02884-x"},{"key":"10.1016\/j.ejogrb.2026.115187_b0110","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1186\/s12884-023-06186-0","article-title":"Epidemiology and factors associated with preterm births in multiple pregnancy: a retrospective cohort study","volume":"23","author":"Seetho","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"issue":"2S","key":"10.1016\/j.ejogrb.2026.115187_b0115","article-title":"Mode of delivery in multiple pregnancies","volume":"4","author":"Aviram","year":"2022","journal-title":"Am J Obstet Gynecol MFM"},{"key":"10.1016\/j.ejogrb.2026.115187_b0120","doi-asserted-by":"crossref","unstructured":"Al Sulaimani R, Machado L, Al Salmi M. Do large uterine fibroids impact pregnancy outcomes?.Oman Med J. 2021;36(4):e292. Published 2021 Jul 31. doi:10.5001\/omj.2021.93.","DOI":"10.5001\/omj.2021.93"},{"issue":"5","key":"10.1016\/j.ejogrb.2026.115187_b0125","article-title":"Are deliveries by inverted T-incision on the rise due to fibroids?: A case report","volume":"14","author":"Almusalam","year":"2022","journal-title":"Cureus"},{"issue":"Suppl 2","key":"10.1016\/j.ejogrb.2026.115187_b0130","first-page":"S92","article-title":"Caesarean section of multifetal pregnancy","volume":"6","author":"Tanigaki","year":"2020","journal-title":"Surg J (N Y)"},{"key":"10.1016\/j.ejogrb.2026.115187_b0135","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1186\/s12884-024-06798-0","article-title":"Twin pregnancy and postpartum haemorrhage: a systematic review and meta-analysis","volume":"24","author":"Abdulsalam","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"issue":"7","key":"10.1016\/j.ejogrb.2026.115187_b0140","doi-asserted-by":"crossref","DOI":"10.1016\/j.jogoh.2020.101987","article-title":"Risks factors FOR wound complications after cesarean section","volume":"50","author":"Carbonnel","year":"2021","journal-title":"J Gynecol Obstet Hum Reprod"},{"issue":"11","key":"10.1016\/j.ejogrb.2026.115187_b0145","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1007\/s10654-024-01171-z","article-title":"Placental abruption and perinatal mortality in twins: novel insight into management at preterm versus term gestations","volume":"39","author":"Lee","year":"2024","journal-title":"Eur J Epidemiol"},{"issue":"6 Pt 1","key":"10.1016\/j.ejogrb.2026.115187_b0150","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1097\/00006250-200006000-00022","article-title":"Maternal morbidity and mortality associated with multiple gestations","volume":"95","author":"Conde-Agudelo","year":"2000","journal-title":"Obstet Gynecol"},{"issue":"6","key":"10.1016\/j.ejogrb.2026.115187_b0155","doi-asserted-by":"crossref","first-page":"658","DOI":"10.3109\/14767058.2011.584924","article-title":"Twin versus singleton pregnancies complicated by preterm premature rupture of membranes","volume":"25","author":"Ehsanipoor","year":"2012","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"6","key":"10.1016\/j.ejogrb.2026.115187_b0160","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1097\/AOG.0000000000003261","article-title":"Severe acute maternal morbidity in twin compared with singleton pregnancies","volume":"133","author":"Madar","year":"2019","journal-title":"Obstet Gynecol"},{"issue":"4","key":"10.1016\/j.ejogrb.2026.115187_b0165","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1097\/AOG.0000000000001338","article-title":"Twin pregnancy and severe maternal outcomes: the world health organization multicountry survey on maternal and newborn health","volume":"127","author":"Santana","year":"2016","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.ejogrb.2026.115187_b0170","doi-asserted-by":"crossref","unstructured":"Afaq M, Zlotshewer BA, Oliveros E, et al. Uterine fibroids and their association with acute and chronic venous thromboembolic disease-an expert review of the literature.J Clin Med. 2025;14(12):4065. Published 2025 Jun 9. doi:10.3390\/jcm14124065.","DOI":"10.3390\/jcm14124065"},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115187_b0175","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1002\/ijgo.70612","article-title":"Fibroids and pregnancy","volume":"172","author":"Ramasauskaite","year":"2026","journal-title":"Int J Gynaecol Obstet"},{"issue":"5","key":"10.1016\/j.ejogrb.2026.115187_b0180","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1097\/AOG.0000000000001110","article-title":"Disseminated intravascular coagulation syndromes in obstetrics","volume":"126","author":"Cunningham","year":"2015","journal-title":"Obstet Gynecol"},{"issue":"19","key":"10.1016\/j.ejogrb.2026.115187_b0185","doi-asserted-by":"crossref","first-page":"2025","DOI":"10.1056\/NEJMra0707993","article-title":"Venous thromboembolic disease and pregnancy","volume":"359","author":"Marik","year":"2008","journal-title":"N Engl J Med"},{"key":"10.1016\/j.ejogrb.2026.115187_b0190","unstructured":"The children's hospital of Philadelphia. Small for gestational age | children\u2019s hospital of Philadelphia. Chop.edu. Published August 24, 2014. https:\/\/www.chop.edu\/conditions-diseases\/small-gestational-age."},{"key":"10.1016\/j.ejogrb.2026.115187_b0195","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.annepidem.2020.06.012","article-title":"Association of uterine fibroids with birthweight and gestational age","volume":"50","author":"Zhao","year":"2020","journal-title":"Ann Epidemiol"},{"issue":"4","key":"10.1016\/j.ejogrb.2026.115187_b0200","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1055\/s-0030-1270116","article-title":"Intrauterine growth restriction in twin pregnancies: incidence and associated risk factors","volume":"28","author":"Fox","year":"2011","journal-title":"Am J Perinatol"},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115187_b0205","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/s00404-025-07982-z","article-title":"Global prevalence of stillbirth among fetuses from twin pregnancies: a systematic review and meta-analysis","volume":"312","author":"Salari","year":"2025","journal-title":"Arch Gynecol Obstet"}],"container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211526002551?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211526002551?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T12:45:35Z","timestamp":1787921135000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0301211526002551"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":41,"alternative-id":["S0301211526002551"],"URL":"https:\/\/doi.org\/10.1016\/j.ejogrb.2026.115187","relation":{},"ISSN":["0301-2115"],"issn-type":[{"value":"0301-2115","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Pregnancy, delivery, and neonatal outcomes in women with uterine fibroids carrying singleton vs. multiple gestations: A retrospective population database cohort study","name":"articletitle","label":"Article Title"},{"value":"European Journal of Obstetrics & Gynecology and Reproductive Biology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejogrb.2026.115187","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Crown Copyright \u00a9 2026 Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"115187"}}