Perinatal and Neonatal Outcomes of Triplet Gestations Based on Chorionicity
Abstract Objective To compare perinatal and neonatal outcomes of dichorionic (DC) and monochorionic (MC) with trichorionic (TC) triplet gestations. Methods A retrospective cohort study of DC + MC versus TC triplet gestations delivered at a tertiary care hospital from 2009 t...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2017-01-01
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| Series: | American Journal of Perinatology Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1599124 |
| _version_ | 1818926905501417472 |
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| author | Maureen Downing Suela Sulo Barbara V. Parilla |
| author_facet | Maureen Downing Suela Sulo Barbara V. Parilla |
| author_sort | Maureen Downing |
| collection | DOAJ |
| description | Abstract
Objective To compare perinatal and neonatal outcomes of dichorionic (DC) and monochorionic (MC) with trichorionic (TC) triplet gestations.
Methods A retrospective cohort study of DC + MC versus TC triplet gestations delivered at a tertiary care hospital from 2009 to 2015. The results include 42 sets of triplets (TC, n = 26; DC + MC, n = 16). Maternal demographics and pregnancy data were compared. Neonatal outcomes were assessed using composite morbidity and mortality.
Results Maternal baseline characteristics including age, mode of conception, race, parity, body mass index, and previous preterm delivery were statistically comparable. Comparison of prenatal management and complications yielded no significant differences in terms of presence of shortened cervix, cerclage placement, use of tocolytics, intrauterine growth restriction, premature rupture of membranes, pregnancy-induced hypertension, or gestational diabetes. However, evaluation of composite morbidity and mortality (RDS, IVH, NEC, IUGR, and death) illustrated that all infants born from DC + MC triplet gestations suffered some morbidity or mortality compared with TC pregnancies (p < 0.01).
Conclusion DC + MC triplet gestations are at an increased risk of neonatal morbidity and mortality compared with TC triplet gestations. |
| first_indexed | 2024-12-20T03:04:33Z |
| format | Article |
| id | doaj.art-f70fd033f1644acebfc1ab844417bc74 |
| institution | Directory Open Access Journal |
| issn | 2157-6998 2157-7005 |
| language | English |
| last_indexed | 2024-12-20T03:04:33Z |
| publishDate | 2017-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | American Journal of Perinatology Reports |
| spelling | doaj.art-f70fd033f1644acebfc1ab844417bc742022-12-21T19:55:39ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052017-01-010701e59e6310.1055/s-0037-1599124Perinatal and Neonatal Outcomes of Triplet Gestations Based on ChorionicityMaureen Downing0Suela Sulo1Barbara V. Parilla2Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Advocate Lutheran General Hospital, Park Ridge, IllinoisThe James R. and Helen D. Russell Institute for Research & Innovation, Advocate Lutheran General Hospital, Park Ridge, IllinoisDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Advocate Lutheran General Hospital, Park Ridge, IllinoisAbstract Objective To compare perinatal and neonatal outcomes of dichorionic (DC) and monochorionic (MC) with trichorionic (TC) triplet gestations. Methods A retrospective cohort study of DC + MC versus TC triplet gestations delivered at a tertiary care hospital from 2009 to 2015. The results include 42 sets of triplets (TC, n = 26; DC + MC, n = 16). Maternal demographics and pregnancy data were compared. Neonatal outcomes were assessed using composite morbidity and mortality. Results Maternal baseline characteristics including age, mode of conception, race, parity, body mass index, and previous preterm delivery were statistically comparable. Comparison of prenatal management and complications yielded no significant differences in terms of presence of shortened cervix, cerclage placement, use of tocolytics, intrauterine growth restriction, premature rupture of membranes, pregnancy-induced hypertension, or gestational diabetes. However, evaluation of composite morbidity and mortality (RDS, IVH, NEC, IUGR, and death) illustrated that all infants born from DC + MC triplet gestations suffered some morbidity or mortality compared with TC pregnancies (p < 0.01). Conclusion DC + MC triplet gestations are at an increased risk of neonatal morbidity and mortality compared with TC triplet gestations.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1599124monochorionic tripletstriplet outcomes based on chorionicitydichorionic tripletsdiamnioticmonochorionic twin pair in triplet gestationtriplet gestation outcomes |
| spellingShingle | Maureen Downing Suela Sulo Barbara V. Parilla Perinatal and Neonatal Outcomes of Triplet Gestations Based on Chorionicity American Journal of Perinatology Reports monochorionic triplets triplet outcomes based on chorionicity dichorionic triplets diamniotic monochorionic twin pair in triplet gestation triplet gestation outcomes |
| title | Perinatal and Neonatal Outcomes of Triplet Gestations Based on Chorionicity |
| title_full | Perinatal and Neonatal Outcomes of Triplet Gestations Based on Chorionicity |
| title_fullStr | Perinatal and Neonatal Outcomes of Triplet Gestations Based on Chorionicity |
| title_full_unstemmed | Perinatal and Neonatal Outcomes of Triplet Gestations Based on Chorionicity |
| title_short | Perinatal and Neonatal Outcomes of Triplet Gestations Based on Chorionicity |
| title_sort | perinatal and neonatal outcomes of triplet gestations based on chorionicity |
| topic | monochorionic triplets triplet outcomes based on chorionicity dichorionic triplets diamniotic monochorionic twin pair in triplet gestation triplet gestation outcomes |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1599124 |
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