دورية أكاديمية

Characteristics, management and outcomes of very preterm triplets in 19 European regions.

التفاصيل البيبلوغرافية
العنوان: Characteristics, management and outcomes of very preterm triplets in 19 European regions.
المؤلفون: Dudenhausen, Joachim W.1 (AUTHOR) Joachim.dudenhausen@charite.de, Misselwitz, Björn2 (AUTHOR), Piedvache, Aurelie3 (AUTHOR), Maier, Rolf F.4 (AUTHOR), Weber, Tom5 (AUTHOR), Zeitlin, Jennifer3 (AUTHOR), Schmidt, Stephan6 (AUTHOR), Martens, E. (AUTHOR), Martens, G. (AUTHOR), Van Reempts, P. (AUTHOR), Boerch, K. (AUTHOR), Hasselager, A. (AUTHOR), Huusom, L. (AUTHOR), Pryds, O. (AUTHOR), Toome, L. (AUTHOR), Varendi, H. (AUTHOR), Ancel, P.Y. (AUTHOR), Blondel, B. (AUTHOR), Burguet, A. (AUTHOR), Jarreau, P.H. (AUTHOR)
المصدر: International Journal of Gynecology & Obstetrics. Dec2019, Vol. 147 Issue 3, p397-403. 7p.
مصطلحات موضوعية: *TRIPLETS, *BIRTH order, *CHILDBIRTH, *HOSPITAL mortality, *PREMATURE labor, *CESAREAN section, *NEONATAL mortality, *APGAR score, *BIRTH weight, *COMPARATIVE studies, *GESTATIONAL age, *PREMATURE infants, *LONGITUDINAL method, *RESEARCH methodology, *MEDICAL cooperation, *MULTIPLE birth, *MULTIPLE pregnancy, *PERINATAL death, *RESEARCH, *RESEARCH funding, *EVALUATION research, *CASE-control method, *PREGNANCY outcomes
مصطلحات جغرافية: EUROPE
مستخلص: Objective: To describe obstetrical care and in-hospital outcomes in very preterm triplet pregnancies in a European multiregional cohort.Methods: Data from a prospective population-based study of very preterm births between 22 + 0 and 31 + 6 weeks of gestation in 19 regions from 11 European countries participating in the EPICE project in 2011/2012 were used to describe triplet pregnancies and compare them with twins and singletons.Results: Triplets constituted 1.1% of very preterm pregnancies (97/8851) and 3.3% of very preterm live births (258/7900); these percentages varied from 0% to 2.6% and 0% to 6% respectively across the regions. In-hospital mortality after live birth was 12.4% and did not differ significantly from singletons or twins or by birth order. However, 28.9% of mothers with a triplet pregnancy experienced at least one neonatal death. Ninety percent of live-born triplets were delivered by cesarean. Vaginal delivery was associated with an Apgar score of less than 7, but not with in-hospital mortality.Conclusions: The prevalence of very preterm triplets varies across European regions. Most triplets were born by cesarean and those born vaginally had lower Apgar scores. Overall, in-hospital mortality after live birth was similar to singletons and twins. [ABSTRACT FROM AUTHOR]
قاعدة البيانات: Academic Search Index
الوصف
تدمد:00207292
DOI:10.1002/ijgo.12939