دورية أكاديمية
Perinatal outcome of monochorionic triamniotic triplet pregnancy: multicenter cohort study
| العنوان: | Perinatal outcome of monochorionic triamniotic triplet pregnancy: multicenter cohort study |
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| المؤلفون: | Sileo F. G., Accurti V., Baschat A., Binder J., Carreras E., Chianchiano N., Cruz-Martinez R., D'Antonio F., Gielchinsky Y., Hecher K., Johnson A., Lopriore E., Massoud M., Nørgaard L. N., Papaioannou G., Prefumo F., Salsi G., Simões T., Umstad M., Vavilala S., Yinon Y., Khalil A., Boito S., Fichera A., Fort-Jacquier J., Liu B., López-Briones H., Miller J., Pateisky P., Pineda-Aleman H., Prasad S., Queirós A., Rodo C., Rosner M., Slaghekke F., Sundberg K., Tenebaum-Gavish K., Youssef A., Zussman N. M. |
| المساهمون: | Sileo, F. G., Accurti, V., Baschat, A., Binder, J., Carreras, E., Chianchiano, N., Cruz-Martinez, R., D'Antonio, F., Gielchinsky, Y., Hecher, K., Johnson, A., Lopriore, E., Massoud, M., Nørgaard, L. N., Papaioannou, G., Prefumo, F., Salsi, G., Simões, T., Umstad, M., Vavilala, S., Yinon, Y., Khalil, A., Boito, S., Fichera, A., Fort-Jacquier, J., Liu, B., López-Briones, H., Miller, J., Pateisky, P., Pineda-Aleman, H., Prasad, S., Queirós, A., Rodo, C., Rosner, M., Slaghekke, F., Sundberg, K., Tenebaum-Gavish, K., Youssef, A., Zussman, N. M. |
| سنة النشر: | 2023 |
| المجموعة: | Università degli Studi di Brescia: OPENBS - Open Archive UniBS |
| مصطلحات موضوعية: | TAPS, TTTS, growth restriction, miscarriage, multiple, outcome, pregnancy, triamniotic, triplet |
| الوصف: | Objective Monochorionic (MC) triplet pregnancies are extremely rare and information on these pregnancies and their complications is limited. We aimed to investigate the risk of early and late pregnancy complications, perinatal outcome and the timing and methods of fetal intervention in these pregnancies.Methods This was a multicenter retrospective cohort study of MC triamniotic (TA) triplet pregnancies managed in 21 participating centers around the world from 2007 onwards. Data on maternal age, mode of conception, diagnosis of major fetal structural anomalies or aneuploidy, gestational age (GA) at diagnosis of anomalies, twin-to-twin transfusion syndrome (TTTS), twin anemia-polycythemia sequence (TAPS), twin reversed arterial perfusion (TRAP) sequence and or selective fetal growth restriction (sFGR) were retrieved from patient records. Data on antenatal interventions were collected, including data on selective fetal reduction (three to two or three to one), laser surgery and any other active fetal intervention (including amniodrainage). Data on perinatal outcome were collected, including numbers of live birth, intrauterine demise, neonatal death, perinatal death and termination of fetus or pregnancy (TOP). Neonatal data such as GA at birth, birth weight, admission to neonatal intensive care unit and neonatal morbidity were also collected. Perinatal outcomes were assessed according to whether the pregnancy was managed expectantly or underwent fetal intervention.Results Of an initial cohort of 174 MCTA triplet pregnancies, 11 underwent early TOP, three had an early miscarriage, six were lost to follow-up and one was ongoing at the time of writing. Thus, the study cohort included 153 pregnancies, of which the majority (92.8%) were managed expectantly. The incidence of pregnancy affected by one or more fetal structural abnormality was 13.7% (21/153) and that of TRAP sequence was 5.2% (8/153). The most common antenatal complication related to chorionicity was TTTS, which affected just over one quarter (27.6%; 42/152, ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/37204929; info:eu-repo/semantics/altIdentifier/wos/WOS:001084356100011; volume:62; issue:4; firstpage:540; lastpage:551; numberofpages:12; journal:ULTRASOUND IN OBSTETRICS & GYNECOLOGY; https://hdl.handle.net/11379/588846Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85173681994 |
| DOI: | 10.1002/uog.26256 |
| الإتاحة: | https://doi.org/10.1002/uog.26256Test https://hdl.handle.net/11379/588846Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.46D5C335 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1002/uog.26256 |
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