Document Detail


Obstetric complications and perinatal outcome in triplet pregnancies.
MedLine Citation:
PMID:  16698624     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
S A Al-Suleiman; F E Al-Jama; J Rahman; M S Rahman
Related Documents :
24318544 - Fetal manipulation for facilitating tests of fetal wellbeing.
8375534 - Embryo reduction in triplet pregnancies after assisted procreation: a comparative study.
11444734 - Frequency of a monochorionic pair in multiple gestations: relationship to mode of conce...
17258214 - Contemporary risks of maternal morbidity and adverse outcomes with increasing maternal ...
9989864 - The origin and future of placental bed research.
18199384 - Utilization of anti-rhd in the emergency department after blunt trauma.
Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2006-05-15     Completed Date:  2006-07-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  200-4     Citation Subset:  IM    
Affiliation:
King Fahad Hospital, Al-Khobar, Saudi Arabia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Infant, Newborn
Infant, Newborn, Diseases / epidemiology*
Live Birth / epidemiology
Pregnancy
Pregnancy Complications / epidemiology*
Pregnancy, Multiple*
Retrospective Studies
Saudi Arabia
Stillbirth / epidemiology

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


Previous Document:  Utility of Doppler velocimetry in correlating with outcomes in severe discordant twins.
Next Document:  Recurrent stillbirths: a matched case-control study of unexplained stillbirths at term.