To describe maternal complications, perinatl mortality and neonatal morbidity in triplet pregnancies. Retrospective nalysis of maternal and neonatal record of 21 triplet pregnances delivered fron January 208 to June 2011 at San Pietro FBF Hospital of Rome, a tertiary medical center.The incidence of triplet pregnancies was one in 690 births. Among the 21 triplet pregnancies, only one was conceived spontaneously and 20were the result of assisted reproductive techniques. Mean maternal age was 34.4 ± 5 years. There was one case of selective foetcide of a foetus with an encephalocele. Preterm delivery occurred in all the remaining 20 pregnacies. Other frequent complications were premature rupture of membranes (40%) and cervical incompetence (35%). There wos no maternal mortality in any of the studied pregnacies. The mean length of maternal hospitalization was 15 ± 5.9 days. The mean gestational age was 31.8 weeks, with a mean birth weight of 1590 ± 590 grams. The neonatal mortality was 5%. The incidence of congenital anomalies was 16.7%. Respiratotory distress syndrome occurred in 53% of cases and 75.6% of newborns required intensive care. Other common neonatal complications were jaundice (66.7%), anaemia (28.9%), patent ductus arteriosus (24.4%), apnea of prematurity (17.8%), sepsis (13.3%), neurological complications (11.1%)and bronchopoulmonary dysplasia (11.1%). The mean length of newborns hospitalization was 33.6 ± 23.3 days. There was no significant difference in neonatal mortality and morbidity based on birth order. The series of triplet pregnancies demonstrated an excellent survival rate and a relatively low major morbidity, despite the 100% incidence of prematurity. Although perinatl outcomes in triplet gestations have improved in recent years, hiher-order multiple pregnancies continued to be associated with great medical problems for both mothers and infants. All methods of assisted reproduction should aim for the prevetion of multifetal pregnancies.
Study of Population of Triplet Pregnacies: Maternal and Neonatl Outcomes / Caserta, Donatella; Bordi, Giulia; Stegagno, Michele; Filippini, F; Podagrosi, M; Roselli, D; Moscarini, Massimo. - In: OMICS. - ISSN 1536-2310. - ELETTRONICO. - 1:(2012), pp. 1-5. [10.4172/jnb.1000104]
Study of Population of Triplet Pregnacies: Maternal and Neonatl Outcomes
CASERTA, Donatella;BORDI, GIULIA;STEGAGNO, MICHELE;MOSCARINI, Massimo
2012
Abstract
To describe maternal complications, perinatl mortality and neonatal morbidity in triplet pregnancies. Retrospective nalysis of maternal and neonatal record of 21 triplet pregnances delivered fron January 208 to June 2011 at San Pietro FBF Hospital of Rome, a tertiary medical center.The incidence of triplet pregnancies was one in 690 births. Among the 21 triplet pregnancies, only one was conceived spontaneously and 20were the result of assisted reproductive techniques. Mean maternal age was 34.4 ± 5 years. There was one case of selective foetcide of a foetus with an encephalocele. Preterm delivery occurred in all the remaining 20 pregnacies. Other frequent complications were premature rupture of membranes (40%) and cervical incompetence (35%). There wos no maternal mortality in any of the studied pregnacies. The mean length of maternal hospitalization was 15 ± 5.9 days. The mean gestational age was 31.8 weeks, with a mean birth weight of 1590 ± 590 grams. The neonatal mortality was 5%. The incidence of congenital anomalies was 16.7%. Respiratotory distress syndrome occurred in 53% of cases and 75.6% of newborns required intensive care. Other common neonatal complications were jaundice (66.7%), anaemia (28.9%), patent ductus arteriosus (24.4%), apnea of prematurity (17.8%), sepsis (13.3%), neurological complications (11.1%)and bronchopoulmonary dysplasia (11.1%). The mean length of newborns hospitalization was 33.6 ± 23.3 days. There was no significant difference in neonatal mortality and morbidity based on birth order. The series of triplet pregnancies demonstrated an excellent survival rate and a relatively low major morbidity, despite the 100% incidence of prematurity. Although perinatl outcomes in triplet gestations have improved in recent years, hiher-order multiple pregnancies continued to be associated with great medical problems for both mothers and infants. All methods of assisted reproduction should aim for the prevetion of multifetal pregnancies.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
