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Triplet and Higher-Order Births: What Is the Optimal Delivery Route?

Published online by Cambridge University Press:  01 August 2014

M. Thiery ,
G. Kermans  and
R. Derom
M. Thiery*
Affiliation:
Department of Obstetrics, University Hospital, Gent, Belgium
G. Kermans
Affiliation:
Department of Obstetrics, University Hospital, Gent, Belgium
R. Derom
Affiliation:
Department of Obstetrics, University Hospital, Gent, Belgium
*
Department of Obstetrics, University Hospital, De Pintelaan 185, B-9000 Gent, Belgium

Abstract

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Data concerning 16 triplet and higher-order deliveries (resulting in a total of 56 infants) are reviewed. The vaginal delivery rate was 81%. Maternal morbidity was more serious after abdominal delivery. Prematurity (< 36 weeks gestation) rate amounted to 68%. Overall perinatal and neonatal mortalities for infants born after 28 weeks gestation and weighing at least 1000 g were 7% and 3%, respectively. We doubt that neonatal outcome could have been markedly improved by performing more cesareans. The importance of antenatal care is stressed.

Keywords

TripletsDeliveryBirthweightNeonatal mortality
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 37 , Issue 1 , January 1988 , pp. 89 - 98
Copyright
Copyright © The International Society for Twin Studies 1988

References

REFERENCES

1.Berbos, JN, King, BF, Janusz, A (1964): Quintuple pregnancy, report of a case. J Am Med Assoc 188:813–816.Google Scholar
2.Bieniarz, J, Shah, N, Dmowski, P, Rao, R, Scommegna, A (1978): Premature labor treatment with ritodrine in multiple pregnancy with three or more fetuses. Acta Obstet Gynecol Scand 57: 25–33.Google Scholar
3.Botha, MC, Milne, AT, Ryder, H, Heimann, KW, Jankowitz, PJ, Hare, SA (1981): Quintuplet gestation. A case report. S Afr Med J 60:364–366.Google ScholarPubMed
4.Cetrulo, CL, Ingardia, CJ, Sbarra, AJ (1980): Management of multiple gestation. Clin Obstet Gynecol 23:533–548.Google Scholar
5.Dafoe, AR (1934): The Dionne quintuplets. J Am Med Assoc 103:673–677.Google Scholar
6.Daw, E (1978): Triplet pregnancy. Br J Obstet Gynaecol 85:505–509.Google Scholar
7.Deale, CJC, Cronje, HS (1984): A review of 367 triplet pregnancies. S Afr Med J 66:92–94.Google ScholarPubMed
8.Derom, C, Bakker, E, Vlietinck, R, Derom, R, Van Den Berghe, H, Thiery, M, Pearson, P (1985): Zygosity determination in newborn twins using DNA variants. J Med Genet 22:279–282.Google Scholar
9.Derom, R, Thiery, M, Derom, C, Vlietinck, R (1986): Triplets: Placentation and zygosity. Abstr no. 201P. 33th Annual Meeting of the Society of Gynecological Investigation, Toronto.Google Scholar
10.Fullerton, WT, Hytten, FE, Klopper, AI, McKay, E (1965): A case of quadruplet pregnancy. J Obstet Gynaecol Br Commonw 72:791–796.Google Scholar
11.Holcberg, G, Biale, Y, Lewenthal, H, Insler, V (1982): Outcome of pregnancy in 31 triplet gestations. Obstet Gynecol 59:472–476.Google Scholar
12.Itzkowic, D (1979): A survey of 59 triplet pregnancies. Br J Obstet Gynaecol 86, 23–28.CrossRefGoogle ScholarPubMed
13.Keast, AC, Cooper, GZ (1967): The Tukutese quintuplets. S Afr J Obstet Gynaecol 5:43–48.Google Scholar
14.Loucopoulos, A, Jewelewicz, R (1982): Management of multifetal pregnancies: sixteen years' experience at the Sloane Hospital for Women. Am J Obstet Gynecol 143:902–905.CrossRefGoogle Scholar
15.McFee, JG, Lord, EL, Jeffrey, RL, O'Meara, OP, Josepher, HJ, Butterfield, LJ, Thompson, HE (1974): Multiple gestations of high fetal number. Obstet Gynecol 44:99–106.Google ScholarPubMed
16.Michlewitz, H, Kennedy, J, Kawada, C, Kennison, R (1981): Triplet pregnancies. J Reprod Med 26:243–246.Google Scholar
17.Muechler, EK, Huang, KE (1983): Plasma estrogen and progesterone in quintuplet pregnancy induced with menotropins. Am J Obstet Gynecol 147:105–106.Google Scholar
18.Neri, A, Ovadia, Y, Friedman, S, Reisner, SH (1981): Medical, social and psychological aspects of quintuplet pregnancy and delivery. Isr J Med Sci 17:355–358.Google Scholar
19.Pheiffer, EL, Golan, A (1979): Triplet pregnancy. A 10-year review of cases at Baragwanath Hospital. S Afr Med J 55:843–846.Google Scholar
20.Riley, P (1979): Quadruplets delivered by caesarean section. S Afr Med J 55:3.Google Scholar
21.Ron-El, R, Caspi, E, Schreyer, P, Weinraub, Z, Arieli, S, Goldberg, MD (1981): Triplet and quadrupla pregnancies and management Obstet Gynecol 57:458–463.Google Scholar
22.Salisbury, DM, Jones, RWA, Townshend, P, Baum, JD (1977): Paediatric preparation for multiple prenature births. Early Hum Dev 1:39–45CrossRefGoogle Scholar
23.Schenker, JG, Yarkoni, S, Granat, M (1981): Multiple pregnancies following induction of ovulation. Fertil Steril 35:105–123.Google Scholar
24.Shennan, AT, Milligan, JE, Yeung, PK (1979): Successful management of quadruplet pregnancy in a perinatal unit, Canad Med Assoc J 121:741–745.Google Scholar