Commentary on: Meitern R, Gortfelder M, Puur A, et al. Mothers of twins had higher old-age survival than mothers of singletons in Estonian 19th-century birth cohorts. Hum Reprod. 2024 Sep 1;39(9):2124-2133. doi: 10.1093/humrep/deae166. PMID: 39067454.
Implications for practice and research While twin pregnancies may be associated with higher postpartum mortality, mothers to twins may experience higher survival odds after the age of 80. Future research should explore the lifespans of mothers with a history of twin pregnancy versus those with a history of singleton pregnancy in more diverse and modern populations.
Although twin pregnancies have been shown to increase postpartum maternal mortality, the evidence regarding the impact on long-term survival of mothers after twin pregnancies is limited.