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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

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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

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