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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Record ID : 1256
Created on : 23/05/2005
Modified on : 05/08/2014

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URL of this record : http://afar.info/id=1256

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Author(s) :

Zanconato G, Poggi S, Ruffo R, Gazzoni A, Padovani EM, Franchi M.

Year of publication :

2005

Bibliographical entry (without author) :

Antepartum management and neonatal outcome of triplet pregnancies.
Archives of Gynecology and Obstetrics 2005;271(4):320-324.

Résumé (français) :

Abstract (English):

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 postoperative 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), 95.0% being LBW. The following neonatal complications were observed: RDS (28.7%), cerebral hemorrhage (26.2% of II° and 1.2% of III°), 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.

Sumário (português):

URL :

http://springerlink.metapress.com/media/P3D6F5HCB26VPG98AVTK/Contributions/V/Q/U/3/VQU3YUHV3DFVNW1F_

Full text (private) :

http://afar.info/private/1256

Comments :

Texte en accès libre.

Argument (français) :

Les grossesses de triplets mènent à une morbidité élevée, ici 100% de césariennes entre 30 et 34 semaines et un taux d’hémorragie post-partum record (25%).

Argument (English):

Argumento (português):

Keywords :

maternal age ; cerclage ; c-section/caesarean ; eclampsia (pre-) ; low birth weight ; multiple pregnancy ; postpartum hemorrhage ; evidence-based medicine/midwifery ; maternal death rate ; premature baby ; assisted conception

Author of this record :

C. Loup

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