التفاصيل البيبلوغرافية
| العنوان: |
Antepartum management and neonatal outcome of triplet pregnancies. |
| المؤلفون: |
Zanconato, Giovanni, Poggi, Sara, Ruffo, Roberta, Gazzoni, Alessandra, Padovani, Ezio, Franchi, Massimo |
| المصدر: |
Archives of Gynecology & Obstetrics; Apr2005, Vol. 271 Issue 4, p320-324, 5p |
| مصطلحات موضوعية: |
TRIPLETS, MULTIPLE birth, PREGNANCY, CHILDBIRTH, BLOOD diseases, PREMATURE labor |
| مستخلص: |
Materials and methods: The maternal and neonatal outcome of 27 triplet and 1 quadruplet gestations was studied at the University Hospital of Verona. Results: Mean maternal age was 31.7±3.7 years; 24 women (85.7%) were nulliparous. Six (21.4%) patients had conceived spontaneously. Common maternal complications were: preterm labor (78.6%), anemia (57.1%), preeclampsia (25.0%). Thirteen patients (46.4%) had cervical cerclage, 21(75%) received tocolysis, 20 (71.4%) corticosteroid prophylaxis, 4 (14.3%) unfractionated heparin. All patients underwent Caesarean section with mean gestational age of 32±2.5 weeks and mean post- operative stay was 9 days. Three patients were treated in ICU after delivery, 1 was hysterectomized and 6 received blood transfusions. The live newborns were 80, the stillborns 5. Mean birth weight was 1,520±516 g (range 650-2,665), 9 5.0% being LBW. The following neonatal complications were observed: RDS (28.7%), cerebral hemorrhage (26.2% of IF and 1.2% of 1110), anemia (20%), PDA (12.5%), ROP (6.5%), polyglobulia (3.75%), NEC (2.5%). Mean hospitalization time was 30.6 days (range 2-132). Discussion: Iatrogenic multiple births are increasing as the use of assisted conception techniques expands. Gynecologists should be aware of maternal complications and neonatal outcome of triplet pregnancies and infertility management strategies should try to avoid iatrogenic multiple gestations. [ABSTRACT FROM AUTHOR] |
|
Copyright of Archives of Gynecology & Obstetrics is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
