Document Detail


The likelihood of adverse outcomes in triplet pregnancies estimated by pregravid maternal characteristics.
MedLine Citation:
PMID:  15066467     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To estimate the likelihood of adverse outcomes in triplet pregnancies by a score comprising pregravid maternal characteristics. DESIGN: A cross-sectional study. SETTING: Triplets database collected by Matria Healthcare, Inc. PATIENT(S): A scoring system was constructed, assigning 1 point for the presence of a risk factor (nulliparity, stature <165 cm, and age <35 years) and 0 for the absence of a risk factor. Data related to 2,887 triplet sets were analyzed. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Total triplet birth weight <4,500 and delivery at 27-32 weeks. RESULT(S): We identified 18% of triplets' mothers (score 3) in whom the likelihood for adverse results is 50%-90% higher and the likelihood for optimal results is 40% to 70% lower than background rates. CONCLUSION(S): A pregravid maternal profile could estimate the likelihood of adverse outcomes and be used for consulting patients at risk of having or carrying a triplet pregnancy.
Authors:
Isaac Blickstein; Debbie J Rhea; Louis G Keith
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Fertility and sterility     Volume:  81     ISSN:  0015-0282     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-04-06     Completed Date:  2004-05-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1079-82     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Kaplan Medical Center, Rehovot, Israel. blick@netvision.net.il
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Body Height
Cross-Sectional Studies
Female
Gestational Age
Humans
Infant, Low Birth Weight*
Infant, Newborn
Infant, Premature*
Likelihood Functions*
Maternal Age
Parity
Pregnancy
Pregnancy, Multiple*
Risk Factors
Triplets*

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


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