Document Detail


Triplet pregnancy: changes in morbidity and mortality.
MedLine Citation:
PMID:  1919816     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The outcome of 13 sets of triplet infants delivered between January 1, 1981, and December 31, 1988, is analyzed with specific regard to immediate neonatal morbidity. Thirty-nine viable infants were born with no perinatal deaths. Overall, 80% of triplet infants incurred some morbidity, including hyperbilirubinemia (51.3%), hypoglycemia (30.8%), respiratory distress syndrome (28.2%), respiratory compromise (23.1%), anemia (17.9%), patent ductus arteriosus (15.4%), and intraventricular hemorrhage (10.3%). All morbidities occurred in infants who averaged less than 2,000 g and 35 weeks' gestation at birth. As a background to understanding these observations, a review of reports of triplet morbidity and mortality in the United States and Europe is presented. Over the past 80 years, a continual decline in triplet perinatal mortality has occurred despite no change in the average gestational age at delivery over the past 40 years. The triplet perinatal mortality rate is now less than 10%, and prematurity is no longer as influential on perinatal mortality as it is on morbidity. Improvement in neonatal resuscitation and care and delivery by cesarean section are felt to be responsible for lower mortality rates. We believe that the optimum level of care for triplet gestations includes antenatal and neonatal care at tertiary perinatal centers and, except for special circumstances, delivery by cesarean section.
Authors:
M Creinin; M Katz; R Laros
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  11     ISSN:  0743-8346     ISO Abbreviation:  J Perinatol     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-11-21     Completed Date:  1991-11-21     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  207-12     Citation Subset:  IM    
Affiliation:
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California-San Francisco 94143.
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Weight
Cesarean Section / statistics & numerical data
Delivery, Obstetric / statistics & numerical data
Female
Fetal Death / epidemiology
Fetal Organ Maturity
Gestational Age
Humans
Infant Mortality
Infant, Newborn
Infant, Newborn, Diseases / epidemiology
Male
Obstetric Labor, Premature / epidemiology
Pregnancy
Pregnancy Complications / epidemiology
Pregnancy Outcome*
Pregnancy, Multiple*
Prenatal Care / statistics & numerical data
Retrospective Studies
San Francisco / epidemiology
Triplets*

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


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