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Data and metadata

HMBD (v.1) - last update: 26/05/2025

11/08/2022: The variable Flag was removed in this data update, as we are currently replacing it by the variable Footnotes. These variables are available in the country-specific input data files. 

The data available in the HMBD have been verified and corrected if necessary, e.g. when inconsistencies were identified in the input data. In addition, the values for certain variables in the HMBD are the result of calculations based on the verified and corrected input data available for each country and source.  Detailed calculations by country can be consulted in the R-code files.

Table 1. Variables available in the HMBD
Variable nameDescription
CountryCountry name
SourceCode of the data source. The complete list of references is available in the documentation of the HMBD. 
YearYear of reference of the data
Stillbirths

Indicates whether the cases with still born children are included in the data:

0 = No (stillbirths not included);

1 = Yes (stillbirths included); 

2 = Mixed (stillbirths included in some cases only); 

99 = Information not available

SingletonsNumber of single deliveries
Twin_deliveriesNumber of twin deliveries
Triplet_deliveries*Number of triplet deliveries
Quadruplet_plus_deliveries*Number of deliveries involving four or more children
Multiple_deliveriesTotal number of multiple deliveries (i.e. the sum of twin, triplet, and quadruplet + deliveries)
Multiple_childrenNumber of children born from multiple deliveries (twin babies, triplet babies, etc.)
Total_deliveriesTotal number of deliveries (i.e., single and multiple deliveries combined)
Twinning_rateNumber of twin deliveries / total number of deliveries, per 1,000.
Multiple_rateNumber of multiple deliveries / total number of deliveries, per 1,000.
Flag**

Indicates caution. For the cases with Flag = 1, data users are advised to read the notes and warnings for the concerned year and/or data source available in the country-specific metadata file (sheet 'metadata - sources & notes'): 

0 = No warnings identified

1 = Warnings should be consulted

* In some cases, the column Triplet_deliveries may also include the number of quadruplets and more children. This occurs when it is impossible to distinguish the deliveries by number of children (among the deliveries involving at least three children) in the original data sources. These cases are indicated in the country-specific metadata files.

** The variable Flag, available in previous releases of the HMBD, will be replaced by the variable Footnotes (examples are available for those countries with metadata files using the new format, see Metadata section).

Metadata

Metadata and input data by country

AAustralia, Austria
CCanada, Chile, Czech Republic
DDenmark
EEngland and Wales
FFinland, France
GGermany, Greece
IIceland, Italy
JJapan
LLithuania
NNetherlands, New Zealand, Norway
RRepublic of Korea
SScotland, Spain, Sweden, Switzerland
UUnited States, Uruguay

We are currently introducing a new format for the metadata files. Metadata with the new format are already available for Australia, Austria, the Czech Republic, Denmark, England and Wales, France, Greece, New Zealand, Spain, the United States, and Uruguay. For the other countries, the new format will be implemented gradually. 

Supplemental data

The references to other data sources with detailed data on multiple births according to certain characteristics (sex-composition, mother's age, etc.) are available here. This list is not exhaustive, and it is frequently updated.