Document Detail


Outpatient triplet management: a contemporary review.
MedLine Citation:
PMID:  2782333     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The antepartum management of 198 women who were delivered of triplets between 1985 and 1988 is reviewed. Women were managed with the assistance of ambulatory perinatal nursing to provide outpatient surveillance. Modified bed rest, prophylactic tocolysis, and betamethasone were liberally used and patients were hospitalized only when obstetrically indicated. The most common antepartum complication was preterm labor (66.2%) and the success of therapy with tocolytic agents is described. The mean gestational age and birth weight at delivery were 33.6 +/- 3 weeks (mean +/- SD) and 1871 +/- 555 gm, respectively. Comparison of the gestational age distribution at delivery with previous reviews demonstrates fewer deliveries less than 29 weeks' gestation and significantly more deliveries between 32 and 37 weeks' gestation. Cesarean delivery occurred in 94% of the triplets, which eliminated birth order as a factor that affects survival. The corrected perinatal survival rate was 95% in this contemporary review of outpatient triplet management and represents a major improvement in the expected outcome for triplets.
Authors:
R B Newman; C Hamer; M C Miller
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  161     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1989 Sep 
Date Detail:
Created Date:  1989-10-18     Completed Date:  1989-10-18     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:  547-53; discussion 553-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston 29425.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section
Delivery, Obstetric
Female
Fetal Membranes, Premature Rupture / epidemiology
Humans
Infant Mortality
Infant, Newborn
Length of Stay
Obstetric Labor, Premature / drug therapy,  epidemiology
Pregnancy
Prenatal Care*
Prognosis
Tocolytic Agents / therapeutic use
Triplets*
Chemical
Reg. No./Substance:
0/Tocolytic Agents

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


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