Document Detail


Triplet gestation: clinical outcome of 14 cases.
MedLine Citation:
PMID:  18240485     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/OBJECTIVE: To determine maternal complications and fetal outcome of triplet gestations. METHOD: Retrospective study of pregnant women with triplet gestation managed in 10 years. RESULTS: Fourteen women were managed with triplet gestation, of these, (71.4%) were booked for antenatal care and four (28.6%) were unbooked. The mean age of the women was 31.3 years. The age range was between twenty seven years and thirty nine years. The mean gestational age at diagnosis for the booked women was 18.6 weeks. Of the fourteen patients, ten (71.4%) had spontaneous conception, three (21.4%) followed ovulation induction and one (7.2%) resulted from invitro fertilization and embryo transfer. Two (14.3%) patients had cervical cerclage based on their past obstetric history and assessment of the cervix. Six (42.9%) patients were hospitalized and treated for preeclampsia 3 patients, spontaneous abortion 1 patient and cervical incompetence 2 patients. Eleven (78.6%) patients had preterm birth. The mean gestational age at delivery was 33.4 weeks. Of the thirteen deliveries, nine (69.2%) had caesarean section and four (30.8%) delivered per vaginam. A total of thirty nine babies were delivered, thirty four (87.2%) babies survived and five (12.8%) died. Perinatal mortality was 11.9% and the "take home" baby rate was 81%. CONCLUSION: Antenatal care with initiation of specialized prenatal care and planned delivery in triplet gestation improves fetal outcome.
Authors:
A G Adesiyun; E Eseigbe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of African medicine     Volume:  6     ISSN:  1596-3519     ISO Abbreviation:  Ann Afr Med     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2008-02-04     Completed Date:  2008-03-27     Revised Date:  2010-06-10    
Medline Journal Info:
Nlm Unique ID:  101231417     Medline TA:  Ann Afr Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  12-6     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Shika, Zaria, Nigeria. adebiyi_g@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Cohort Studies
Female
Gestational Age
Humans
Perinatal Mortality
Pregnancy
Pregnancy Complications / diagnosis,  epidemiology*,  therapy
Pregnancy Outcome
Pregnancy, Multiple*
Reproductive History
Retrospective Studies
Triplets

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


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