| Infant and perinatal outcomes of triplet pregnancy in Auckland: better than expected? | |
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MedLine Citation:
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PMID: 19680303 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: There were two aims to the study: (1) to provide local outcome data that would be useful in counselling prospective parents of triplets; and (2) to address the deficit in accurate contemporary data on neurodevelopmental outcome and neonatal morbidity for those infants weighing less than 1500 g at birth. METHODS: We reviewed the outcome of triplet pregnancies born at National Women's Hospital / Auckland City Hospital (Auckland, New Zealand) for 1995-2005 inclusive. For this study triplet pregnancy was defined as a pregnancy beyond 20 weeks leading to registration of at least one birth. RESULTS: For the study period, 55 triplet pregnancies were identified. Forty-five percent of the pregnancies were reported as spontaneously conceived and 60% had no major complications other than premature delivery. One pregnancy spontaneously aborted; three fetuses from one pregnancy were stillborn, and four infants died in delivery suite. The median gestational age at birth was 32 (23-37) weeks and birth weight 1620 (530-2780) g. The median (range) Apgar score, for liveborns, was 8 (2-10) and 10 (4-10) for 1 and 5 minutes respectively. There were five neonatal deaths. Fifty-three infants, <1500g at birth, underwent formal developmental assessment. Three had cerebral palsy (2 hemiplegia and 1 spastic diplegia); one had marked motor delay and one hearing impairment requiring aids. The median Bayley II MDI was 95 (71-105) and PDI 94 (65-110). Outcomes were categorised in surviving triplets <1500 g as normal in 66%, mild abnormality in 17%, moderate abnormality in 15% and severely abnormal in only 2%. CONCLUSION: Although triplets represent a significant burden on the regional NICUs the outcome, including those <1500 g at birth, compares favourably with that reported. |
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Authors:
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Malcolm Battin; Michelle Wise; Anne DeZoete; Peter Stone |
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Publication Detail:
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Type: Journal Article Date: 2009-07-03 |
Journal Detail:
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Title: The New Zealand medical journal Volume: 122 ISSN: 1175-8716 ISO Abbreviation: N. Z. Med. J. Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-08-14 Completed Date: 2009-08-28 Revised Date: 2010-10-22 |
Medline Journal Info:
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Nlm Unique ID: 0401067 Medline TA: N Z Med J Country: New Zealand |
Other Details:
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Languages: eng Pagination: 39-47 Citation Subset: IM |
Affiliation:
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Newborn Services, National Women's Health, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand. malcolmb@adhb.govt.nz |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Child Development Cohort Studies Female Humans Infant Infant, Newborn Infant, Premature Infant, Premature, Diseases / epidemiology* Infant, Very Low Birth Weight Maternal Mortality New Zealand Perinatal Mortality Pregnancy Pregnancy Complications / epidemiology* Pregnancy Outcome Pregnancy, Multiple* Retrospective Studies Triplets Young Adult |
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