| Maternal and neonatal outcomes in 54 triplet pregnancies managed in an Australian tertiary centre. | |
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MedLine Citation:
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PMID: 15191446 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: To provide current data on maternal and neonatal outcomes in triplet pregnancies in an Australian population. METHODS: Retrospective case note review of all triplet pregnancies managed within a single Australian tertiary centre. RESULTS: Fifty-four sets of triplets were managed from January 1996 to October 2002. A total of 59% resulted from the use of assisted reproductive technologies. The median gestation at delivery was 32.5 weeks (range: 21-36 weeks); 14% delivered prior to 28 weeks and 43% delivered before 32 weeks. Preterm labour and preterm rupture of membranes were the most common antenatal complications occurring in 57 and 22% of pregnancies, respectively. A total of 93% of pregnancies were delivered by Caesarean section and 37% of mothers experienced at least one post-partum complication. A total of 96% of neonates were liveborn, with a median birthweight of 1644 g (range: 165-2888 g). The two most common neonatal complications were jaundice and hypoglycaemia in 52 and 43% of liveborn neonates, respectively. A total of 28% of neonates were below the 10th centile for gestational age and sex. A total of 8% of neonates demonstrated congenital anomalies. The perinatal mortality at a gestational age of 20-24 weeks was 100%, 22% at 25-28 weeks and zero for those babies born at 29 weeks or beyond. CONCLUSION: Assisted reproductive technologies contribute significantly to the incidence of triplet pregnancies. Gestational age at delivery and perinatal mortality is comparable to published international data. Triplets born in a tertiary centre beyond 28 weeks gestation have a very favourable prognosis in the newborn period. |
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Authors:
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Andrea Barkehall-Thomas; Louise Woodward; Euan M Wallace |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Australian & New Zealand journal of obstetrics & gynaecology Volume: 44 ISSN: 0004-8666 ISO Abbreviation: Aust N Z J Obstet Gynaecol Publication Date: 2004 Jun |
Date Detail:
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Created Date: 2004-06-11 Completed Date: 2004-11-23 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0001027 Medline TA: Aust N Z J Obstet Gynaecol Country: Australia |
Other Details:
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Languages: eng Pagination: 222-7 Citation Subset: IM |
Affiliation:
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Centre for Women's Health Research, Monash University, Clayton, Victoria, Australia. a.barkehallthomas@southernhealth.org.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Delivery, Obstetric Female Gestational Age Humans Infant, Newborn Pregnancy Pregnancy Complications / epidemiology* Pregnancy Outcome / epidemiology* Pregnancy, Multiple* Retrospective Studies Triplets* Victoria / epidemiology |
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