Long-term neurodevelopmental outcome of triplets

Škrablin, Snježana; Kuvačić, Ivan; Šimunić, Velimir; Bošnjak-Nadj, Katarina; Kalafatić, Držislav; Banović, Vladimir

doi:10.1016/j.ejogrb.2006.06.019

Cited by 9 publications

(19 citation statements)

References 26 publications

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“…Five studies regarding multiple gestation were considered (37–41). A surviving twin after co‐twin fetal death appears to have a higher risk for CP (37), while vanishing twin was not significantly associated with CP in the surviving twin (39).…”

Section: Resultsmentioning

confidence: 99%

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Risk factors for cerebral palsy in children born at term

Himmelmann

Ahlin

Jacobsson

et al. 2011

Acta Obstet Gynecol Scand

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Information on maternal and neonatal infections, umbilical cord blood gases at birth, mode of delivery and placental status should be collected in a standardized way in CP registers. Information on social factors, such as education level, family income and area of residence, is also of importance. More research is needed to understand the risk factors of CP and specifically how they relate to causal pathways of cerebral palsy.

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Section: Resultsmentioning

confidence: 99%

“…A fourfold increased risk for CP after multiple gestation was seen in a large study from five populations (40). Spontaneously conceived triplets were at higher risk for CP compared with those born after use of artificial reproductive techniques (41).…”

Section: Resultsmentioning

confidence: 99%

Risk factors for cerebral palsy in children born at term

Himmelmann

Ahlin

Jacobsson

et al. 2011

Acta Obstet Gynecol Scand

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“…Yee et al 17 showed that triplets and twins assessed at 36–48 months corrected age had similar risk of neurodevelopmental outcomes when compared with singleton infants. However, other studies have suggested that the higher the number of fetuses, the greater the prevalence of CP and cognitive disability 17 22 39. For instance, Wadhawan et al, 4 8 showed that neurodevelopmental impairment was higher in twins, triplets or higher-order multiples when compared with singletons at the corrected age of 18–22 months.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have shown that rates of cerebral palsy (CP), cognitive delay and major disability are similar in triplets and twins compared with singleton infants 17. However, there is also increasing evidence that for twins8 and larger sets of multiples,4 there may be a higher risk of neurodevelopmental disability,11 15 18–21 in particular, CP and cerebral dysfunction 4 8 14 16 22 23…”

Section: Introductionmentioning

confidence: 99%

Neurodevelopmental outcomes of preterm singletons, twins and higher-order gestations: a population-based cohort study

Gnanendran

Bajuk²,

Oei

et al. 2014

Arch Dis Child Fetal Neonatal Ed

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“…Of the 9 studies assessing the risk of CP in children born after IVF, only 1 was con-ducted outside of Scandinavia (a Croatian study of triplets). 26 The Scandinavian studies were population-based, diminishing any selection bias. However, the Scandinavian countries are very similar in demographic factors, socioeconomic status, ethnicity (mainly white), and free access to health care (includingfertilitytreatment),andthisuniformitymightlimit extrapolation of the findings to populations of different ethnic profiles, demography, and health care systems.…”

Section: Generalizabilitymentioning

confidence: 99%

Cerebral Palsy, Autism Spectrum Disorders, and Developmental Delay in Children Born After Assisted Conception

Hvidtjørn¹,

Schieve²,

Schendel³

et al. 2009

Arch Pediatr Adolesc Med

136

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To assess the existing evidence of associations between assisted conception and cerebral palsy (CP), autism spectrum disorders (ASD), and developmental delay. Data Sources: Forty-one studies identified in a systematical PubMed and Excerpta Medica Database (EMBASE) search for articles published from January 1, 1996, to April 1, 2008. Study Selection: Studies written in English comparing children born after assisted conception with children born after natural conception assessing CP, ASD, and developmental delay, based on original data with a follow-up of 1 year or more. Main Exposures: In vitro fertilization (IVF) with or without intracytoplasmic sperm injection or ovulation induction with or without subsequent intrauterine insemination. Main Outcome Measures: Cerebral palsy, ASD, and developmental delay. Results: Nine CP studies showed that children born after IVF had an increased risk of CP associated with preterm delivery. In our meta-analysis including 19 462 children exposed to IVF, we estimated a crude odds ratio of 2.18 (95% confidence interval, 1.71-2.77). Eight ASD studies and 30 studies on developmental delay showed inconsistent results. No studies assessed the risk of CP, ASD, or developmental delay in children born after ovulation induction exclusively.

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Long-term neurodevelopmental outcome of triplets

Cited by 9 publications

References 26 publications

Risk factors for cerebral palsy in children born at term

Risk factors for cerebral palsy in children born at term

Neurodevelopmental outcomes of preterm singletons, twins and higher-order gestations: a population-based cohort study

Cerebral Palsy, Autism Spectrum Disorders, and Developmental Delay in Children Born After Assisted Conception

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