Document Detail


Delayed delivery of multiple gestations: maternal and neonatal outcomes.
MedLine Citation:
PMID:  9822491     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The study's aims were to compare neonatal outcomes and to describe maternal complications in patients who underwent delayed delivery of twins or triplets in a preterm gestation. STUDY DESIGN: A retrospective review was performed on 5 sets of twins and 2 sets of triplets. Maternal morbidity was described. Neonatal outcomes were compared in the initial and subsequent delivery groups. RESULTS: The percentage of surviving firstborns was 57%, compared with 78% among latter-born infants. The average gestational age of the initial delivery group was 22.6 weeks (18.9-24.7 weeks); gestational age was 27.4 weeks (19.3-37.9 weeks) for the subsequent group (P <.05), a difference of 32.6 days. The average weight gain was 556.1 g. Serious neonatal complications were less frequent among the subsequently delivered siblings (P <.05), and the mean difference in neonatal hospital stay was 77.3 days, with a range of 62.5 to 139.8 (P <.5). Adverse maternal outcomes were represented by 3 patients with abruptio placentae and 3 patients with intra-amniotic infection, 2 of whom had positive blood culture results. CONCLUSION: On the basis of our experience with 7 multifetal pregnancies, delayed delivery has been demonstrated to increase the likelihood of survival and decrease morbidity among the latter-born siblings. Despite the risk of complications, these data support therapeutic interventions aimed at delayed delivery of subsequent fetuses in cases with the potential for significant morbidity and mortality.
Authors:
M A Kalchbrenner; E J Weisenborn; J K Chyu; H K Kaufman; T A Losure
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  179     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1998 Nov 
Date Detail:
Created Date:  1998-12-23     Completed Date:  1998-12-23     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1145-9     Citation Subset:  AIM; IM    
Affiliation:
Maternal-Fetal Medicine Department, Rockford Regional Perinatal Center, University of Illinois, Rockford, IL 61103, USA.
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MeSH Terms
Descriptor/Qualifier:
Cohort Studies
Delivery, Obstetric*
Female
Health Care Costs
Humans
Incidence
Infant, Newborn
Infant, Newborn, Diseases / epidemiology
Length of Stay
Maternal Welfare
Obstetric Labor Complications / epidemiology
Pregnancy
Pregnancy Outcome
Pregnancy, Multiple*
Retrospective Studies
Time Factors
Triplets
Twins
Weight Gain / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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