Association between annual twin delivery volume and severe postpartum hemorrhage in twin pregnancies

Severe PPH rates in twin pregnancies do not differ by the annual twin delivery volume of the maternity hospital, which questions the relevance of using this characteristic to limit where women can give birth, provided that a skilled obstetric and onsite anesthesiology team are available. Caution is therefore warranted when generalizing these results to other healthcare settings, particularly in low- and middle-income countries, where health system organization, resource availability, may substantially differ.

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Publication Details

Journal
International Journal of Gynecology & Obstetrics
Published
2026-03-27
DOI
https://doi.org/10.1002/ijgo.70929
Primary Topic
Assisted Reproductive Technology and Twin Pregnancy
Type
article
Field-Weighted Citation Impact
0.00
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article

Association between annual twin delivery volume and severe postpartum hemorrhage in twin pregnancies

F. Goffinet, Victoire Pauphilet, Diane Korb, T. Schmitz et al.
International Journal of Gynecology & Obstetrics
Assisted Reproductive Technology and Twin Pregnancy
article

Association between annual twin delivery volume and severe postpartum hemorrhage in twin pregnancies

F. Goffinet, Victoire Pauphilet, Diane Korb, T. Schmitz, Aurélien Seco, Catherine Deneux‐Tharaux, for the JUmeaux MODe d'Accouchement (JUMODA) study group and the Groupe de Recherche en Obstétrique et Gynécologie (GROG)
article en

Abstract

Severe PPH rates in twin pregnancies do not differ by the annual twin delivery volume of the maternity hospital, which questions the relevance of using this characteristic to limit where women can give birth, provided that a skilled obstetric and onsite anesthesiology team are available. Caution is therefore warranted when generalizing these results to other healthcare settings, particularly in low- and middle-income countries, where health system organization, resource availability, may substantially differ.

International Journal of Gynecology & Obstetrics
Inserm (FR), Université Paris Cité (FR), Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement (FR), Sorbonne Paris Cité (FR), Hôpital Cochin (FR), Maternité Port Royal (FR), Hôpital Robert-Debré (FR), Hôpital Bichat-Claude-Bernard (FR), Centre de Recherche Épidémiologie et Statistique (FR)
Gender equality
Openalex Percentile: Top 5%
Assisted Reproductive Technology and Twin Pregnancy
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