Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-23T05:14:48.815Z Has data issue: false hasContentIssue false
  • English
  • Français

Triplet Gestation: Maternal and Neonatal Implications

Published online by Cambridge University Press:  01 August 2014

C.H. Syrop  and
M.W. Varner
C.H. Syrop
Affiliation:
Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City
M.W. Varner*
Affiliation:
Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City
*
Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Triplet pregnancy of over 20 weeks gestation occurred 20 times during 75,506 deliveries at a referral hospital. Commonly occurring maternal complications included premature delivery (75%), antepartum anemia (35%), postpartum hemorrhage (35%), preeclampsia (20%), and premature spontaneous rupture of the membranes (20%). Malpresentation was common. Neonatal complications were also common and included respiratory distress syndrome (45%), presumptive sepsis (36.6%), hyperbilirubinemia (33%), and neonatal death (21.6%). These high complication rates emphasize the importance of early identification and referral center care for these vulnerable pregnancies.

Keywords

TripletsPrematurityMalpresentationPostpartum hemorrhageNeonatal deathActivity restriction
Type
Review Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 34 , Issue 1-2 , April 1985 , pp. 81 - 88
Copyright
Copyright © The International Society for Twin Studies 1985

References

REFERENCES

1. Brown, G, Daw, E (1980): Some aspects of triple pregnancy in England and Wales, 1971-1975. Br J Clin Pract 34:134–135.CrossRefGoogle Scholar
2. Egwuatu, VE (1980): Triplet pregnancy; A review of 27 cases. Int J Gynaecol Obstet 18:460–464.Google Scholar
3. Goshen-Gottstein, ER (1980): The mothering of twins, triplets and quadruplets. Psychiatry 43: 189–204.Google Scholar
4. Holcberg, G, Biale, Y, Lewenthai, H et al (1982). Outcome of pregnancy in 31 triplet gestations. Obstet Gunecol 59:472–476.Google ScholarPubMed
5. Imaizumi, Y (1982): Sex ratio of triplet births in Japan. Hum Hered 32:114–120.CrossRefGoogle ScholarPubMed
6. James, WG (1980): Seasonality in twin and triplet births. Ann Hum Biol 7:163–175.Google Scholar
7. Lubchenco, LC, Honsman, C, Boyd, E (1966): Intrauterine growth in length and head circumference as estimated from live births at gestational ages from 26 to 42 weeks. Pediatrics 37:403–408.CrossRefGoogle ScholarPubMed
8. MacGillivray, I (1980): Twins and other multiple deliveries. Clin Obstet Gynaecol 7:581–600.Google Scholar
9. Michlewitz, H, Kennedy, J, Kawada, C, et al (1981): Triplet pregnancies. J Reprod Med 26:243–246.Google ScholarPubMed
10. Ron-El, R, Caspi, E, Schreyer, P, et al (1981): Triplet and quadruplet pregnancies and management. Obstet Gynecol 57:458–463.Google Scholar
11. Sogbanmu, MO (1981): Triplet pregnancy in Nigeria: Socio-biologic aspects. Int J Gynaecol Obstet 19:301–304.CrossRefGoogle ScholarPubMed