
Primary researcher: Kelly Ross, MD Instructor, Division of Newborn Medicine Washington University School of Medicine, Pediatric Hospitalist at St. Louis Children’s Hospital, MOST Medical Director
Additional researchers: Maureen A. Doolan Boyle, MOST Executive Director; Elizabeth Pector, MD, FAAFP, MOST Advisory Board; Laurie LaMonde Ph.D, Clinical Psychologist; Kate Collopy, Ph.D., RN, CCNS Bioethics; Karen Lohan, RN FAAFP, MOST Advisory Board; Lauretta Shokler, MOST Technology Director
The
MOST Medical Birth Survey is a longitudinal study started in 1988. The
survey collects data pertaining to socio-demographic status, medical, gynecologic, and obstetric
history, pregnancy, perinatal, and neonatal events. The survey also gathers information regarding breastfeeding and
ongoing developmental and medical challenges in multiple birth children.
The database of responses currently contains over 1800 participants
and over 5800 infants. This survey is one of the most comprehensive
and extensive databases on multiple births in the world.
MOST
believes this data reflects the high-risk nature of higher order multiple births, but will also reassure couples who are expecting triplets,
quadruplets, and more, that a healthy outcome is possible for the majority of higher-order multiples. While
higher order multiple births are without question more complicated
than single births, with the help of a perinatologist experienced with working with higher order multiple pregnancies, the majority of women give birth to infants who
grow to be healthy, developmentally normal children.
For example, one year survival rates for the multiple births represented in the MOST Birth
Survey are as follows:
97.2% of triplets
87.0% of quadruplets
48.1% of quintuplets
50.0% of sextuplets
Note: percentages from this survey reflect losses both during pregnancy and for up to 12 months following delivery. See MOST FAQ #7 for overall US fetal and infant mortality rates as reported by the Centers for Disease Control (CDC).
In
addition, significant percentages of multiple births are born at or
beyond the average gestation for each type of multiple birth:
54.6 % of triplets
were born after 34 weeks.
55.5 % of quadruplets
were born after 32 weeks.
57.7 % of quintuplets
were born after 30 weeks.

Multiple Type |
# of surveys |
# of infants |
% of respondents |
Twins |
13 |
26 |
0.72% |
Triplets |
1504 |
4512 |
82.82% |
Quadruplets |
238 |
952 |
13.11% |
Quintuplets |
52 |
260 |
2.86% |
Sextuplets |
7 |
42 |
0.39% |
Septuplets |
2 |
14 |
0.11% |
Note: Due to the small number of surveys received
for twins, sextuplets, and septuplets to date, MOST may publish some categories
of statistics for these respondents in order to protect their privacy and
confidentiality. However, MOST does make this data, without identifying information,
available on a case-by-case basis to medical professionals who make a request to care for current patients. To learn more about MOST research
and respondent privacy, please see MOST's Privacy Policy.
|
The Average Multiple Birth Mother |
| Type of multiple |
Age at conception |
Weight at conception |
Height |
Weight gained during pregnancy |
Percentage hospitalized prior to delivery |
Post-partum
days in hospital |
| Triplets |
32 years |
145 lbs |
5' 5" |
50 lbs |
70% |
4.7 |
| Quadruplets |
31 years |
151 lbs |
5' 5" |
52 lbs |
86% |
4.6 |
| Quintuplets |
31 years |
159 lbs |
5' 6" |
51 lbs |
85% |
4.9 |
| Sextuplets |
29 years |
151 lbs |
5' 5" |
56 lbs |
100% |
4.9 |
By
comparison, the average age of an American woman at the time of her
first birth:
is 25.1 years old*
has a median weight gain of 30 pounds*
81% will deliver after 37 weeks gestation*
the average birth
weight for singletons is 7 lbs. 6 oz.*
(*Source: Birth data
for 2002, National Vital Statistics Report, Center for Disease Control
and Prevention)
Marital Status |
Percent |
| Married |
95.8% |
| No Answer |
1.8% |
| Divorced or Separated |
0.9% |
| Single or Engaged |
0.8% |
| Partnered |
0.4% |
| Widow or Widower |
0.3% |
Learn more about marriage and multiple births from
MOST's Divorce and the Multiple Birth Family survey.
The MOST birth survey shows a corresponding increase in multiples'
birth weights as a mother's height increases. However, the survey does
not show a consistent rise in infant birth weight in association with higher maternal pre-pregnancy weights, nor did a higher maternal height correspond with a longer pregnancy gestation. (see table below)
Influence of Maternal Weight and Height on Infant Birth Weight |
Mother's Weight Range |
Average Infant Birth Weight |
Mother's Height |
Average Infant Birth Weight |
Under 100 lbs |
3 lbs 8 oz |
4' 10" |
2 lbs 15 oz |
100-120 lbs |
3 lbs 13 oz |
4' 11" |
2 lbs 15 oz |
120-140 lbs |
3 lbs 15 oz |
5' 0" |
3 lbs 9 oz |
140-160 lbs |
4 lbs 0 oz |
5' 1" |
3 lbs 13 oz |
160-180 lbs |
3 lbs 14 oz |
5' 2" |
3 lbs 11 oz |
180-200 lbs |
3 lbs 15 oz |
5' 3" |
3 lbs 13 oz |
200-220 lbs |
4 lbs 1 oz |
5' 4" |
3 lbs 14 oz |
220-240 lbs |
3 lbs 12 oz |
5' 5" |
3 lbs 15 oz |
240-260 lbs |
3 lbs 10 oz |
5' 6" |
3 lbs 15 oz |
260-280 lbs |
3 lbs 7 oz |
5' 7" |
4 lbs 1 oz |
280-300 lbs |
4 lbs 4 oz |
5' 8" |
4 lbs 0 oz |
Over 300 lbs |
4 lbs 0 oz |
5' 9" |
3 lbs 15 oz |
To calculate an estimated birth weight based on current gestation and type of multiples, visit MOST's online birth weight calculator.
|
5' 10" |
4 lbs 6 oz |
5' 11" |
4 lbs 2 oz |
6' 0" |
4 lbs 5 oz |
6' 1" |
5 lbs 1 oz |
The overall age range for all mothers in the MOST birth survey is 19 to 48 years old.
Mothers expecting multiples in
their thirties have slightly longer pregnancies and heavier birth
weights. (see table below)
Maternal Age Range |
Average Gestation |
Infant Birth Weight |
Under 30 years |
32.08 weeks |
3 lbs 11 oz |
30-39 years |
32.95 weeks |
4 lbs 0 oz |
40 years or older |
32.14 weeks |
3 lbs 12 oz |
30.7% of respondents had a history of miscarriage.
2.3% of respondents had a history of stillbirths.
Mothers who give birth prior to their multiple pregnancy,
have longer gestations: (see table below)
| Gestations of multiple
births based
on the number of older siblings
|
| Type of Multiples |
# of older siblings |
Average Gestation |
| Triplets |
0 |
32.83 |
| |
1 |
33.48 |
| |
2 |
33.88 |
| |
3 |
34.57 |
| |
4 |
35.33 |
| |
| Quadruplets |
0 |
30.93 |
| |
1 |
31.84 |
| |
2 |
32.94 |
| |
| Quintuplets |
0 |
28.90 |
| |
1 |
30.61 |
| |
2 |
32.00 |
Updated 7/20/09