Difficulty twinning rates are likely to rise in South Asia

In the southern region of India, specifically in the village of Asin near the city of Kodenahi, the residents of their village call the “village of twins”, because of the unusual number of birth cases in twins, and although there is no conclusive scientific explanation for this phenomenon, this situation may not remain unique for a long time, a recent study revealed that the rate of birth of twins in India, and more broadly in the South Asian region, is a candidate in the years Next, these expectations raise serious concerns about the increase in healthy risks associated with pregnancy and childbirth, which may negatively affect mothers and births alike.

Surprisingly, the scientific reasons, which make some women more likely to have twins, are still sufficiently understood.

However, there are well -known factors that contribute to increasing the chances of pregnancy in twins, including genetic factors and age, in addition to the use of fertility treatments, some artificial insemination techniques and hormonal therapy contribute to the high chances of multiple births, but it is noteworthy that these treatments have begun to lose some of their popularity recently, and despite this, the progress of the age of women when childbearing seems a major factor in this increase, where one of the studies showed that the possibility of having a woman She is 35 years of twins, more than 18 times a woman, even without resorting to fertility treatments.

Expected heights

Currently, most Asian countries record relatively low rates in twinning births compared to the rest of the world, but these rates are likely to rise with the increasing average age of mothers in the region. A study prepared by Dr. Suzy Lee from the Max Planck Institute, in cooperation with Dr. Keron Barclay from the University of Stockholm, expected that India would witness an increase of 50% in the rate of twins by 2050.

According to the model used in the study, which is based on the change of the mother’s life only without taking fertility treatments in mind, the rate may rise from seven twins per 1000 births in 2010 to 11 twins per 1000 births by 2050.

Expectations also indicate that other countries in the region, such as Bangladesh, Maldives, and Nepal, may record similar altitudes in the rates of twins. If fertility treatments increase over the coming decades, the increase may be much greater.

Healthy risks

But this rise in the number of twins’ births does not come without a price, as it is accompanied by a noticeable rise in health risks, and even in countries with advanced health systems, the birth of twins is linked to an increase in the possibility of the birth of dead children or their deaths within a short period after birth.

The presence of two or more fetuses in the womb of the mother doubles the risk of complications during pregnancy, such as premature birth or the birth of children with low weights, and according to one of the studies, the twins in India are 10 times more vulnerable Fold the cost of caring for one child.

Child mortality

Despite these challenges, South Asia has made great progress in reducing children’s deaths. Between 1990 and 2022, child deaths under the age of five decreased by 72%, yet the region remains responsible for about a third of newborns globally, which reflects the volume of challenges facing the result of high population density.

The researcher S. in. Supraman of Harvard University, who conducted studies on twinning deaths in India, that health care investments are necessary, despite their high cost, and without these investments, the silent demographic transformation witnessed in the region may threaten to undermine the progress made in the field of maternal and children’s health. About “Economist”

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Demographic

South Asia seems to be up to a demographic transformation that requires careful health preparation, especially in light of expectations, with a noticeable increase in cases of birth of twins, and the biggest challenge for governments will be the balance between managing this qualitative population growth, and providing advanced medical services that guarantee the safety of mothers and births alike.

• Scientific causes that make some women more likely to have twins, are still sufficiently incomprehensible.

• Expectations of an increase in the rate of twins from 7 per 1000 births in 2010, to 11 twins per 1000 births by 2050.