| Obstetric complications and perinatal outcome in triplet pregnancies. | |
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MedLine Citation:
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PMID: 16698624 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The incidence of multiple pregnancies with more than two fetuses has significantly increased since the introduction of ovulation agents and assisted reproductive technologies. Over a 15-year period there were 35 triplet pregnancies beyond 24 weeks that delivered at the King Fahad Hospital, an incidence of 1 in 1,099 deliveries. Early diagnosis is important for improving the rate of fetal salvage in triplet pregnancy. These pregnancies were managed on an outpatient basis. Prophylactic interventions were not utilised. A total of 91% of the pregnancies had at least one antenatal complication, pre-term labour being the most common (80%) followed by anaemia (43%). The average gestational age at delivery was 31.7 weeks (SD 4.2 weeks). A total of 94.3% of the patients were delivered by lower segment caesarean section. The mean birth weight of the neonates was 1,552 g (SD 510 g) and mean 5-min Apgar score was 7.6 (SD 0.8). The corrected perinatal mortality rate in the study was 152/1,000. Pregnancy outcome did not vary with birth order or mode of conception. Higher rate of pre-term births among triplet pregnancies make considerable demands on the neonatal intensive care unit. All methods of assisted reproduction should aim at prevention of multifetal pregnancies. |
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Authors:
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S A Al-Suleiman; F E Al-Jama; J Rahman; M S Rahman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Volume: 26 ISSN: 0144-3615 ISO Abbreviation: J Obstet Gynaecol Publication Date: 2006 Apr |
Date Detail:
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Created Date: 2006-05-15 Completed Date: 2006-07-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309140 Medline TA: J Obstet Gynaecol Country: England |
Other Details:
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Languages: eng Pagination: 200-4 Citation Subset: IM |
Affiliation:
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King Fahad Hospital, Al-Khobar, Saudi Arabia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Infant, Newborn Infant, Newborn, Diseases / epidemiology* Live Birth / epidemiology Pregnancy Pregnancy Complications / epidemiology* Pregnancy, Multiple* Retrospective Studies Saudi Arabia Stillbirth / epidemiology |
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