Falling perinatal and neonatal mortality in twins in the United Kingdom: organisational success or chance?

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Colleges, School and Institutes


In June 2018, MBRRACE‐UK published a Perinatal Mortality Surveillance Report that outlined that the stillbirth rate for twins has nearly halved, since 2014, whilst the stillbirth rate for singleton pregnancies remained static. There was a statistically significant reduction in the rate of stillbirth in twins over this period from 11.07 (95%CI, 9.78 – 12.47) to 6.16 (95%CI, 5.20 – 7.24) per 1000 total births. This commentary discusses these observations, the effects of twin chorionicity and discusses the potential obstetric and neonatal interventions as well as public health improvements that may have influenced these finding.


Original languageEnglish
JournalBJOG: An International Journal of Obstetrics & Gynaecology
Early online date25 Oct 2018
Publication statusE-pub ahead of print - 25 Oct 2018


  • twins, stillbirth, neonatal death, pregnancy, healthcare improvements