Neonatal outcomes in triplet pregnancies: assisted reproduction versus spontaneous conception

Zuppa, Antonio Alberto; Scorrano, Antonio; Cota, Francesco; D’Andrea, Vito; Fracchiolla, Annalisa; Romagnoli, Costantino

doi:10.1515/jpm.2007.066

Cited by 20 publications

(17 citation statements)

References 23 publications

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“…In accordance with other Italian research [18], all triplet pregnancies in our study population ended preterm. The optimal gestational age at birth for triplet pregnancies is reported to be 34-35 weeks, at a weight of 1,900-2,200 g [19].…”

Section: Discussionsupporting

confidence: 88%

Study of a Population of Triplet Pregnancies: Maternal and Neonatal Outcomes

Caserta¹

2012

J Neonatal Biol

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Section: Discussionsupporting

confidence: 88%

Study of a Population of Triplet Pregnancies: Maternal and Neonatal Outcomes

Caserta¹

2012

J Neonatal Biol

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“…To our knowledge, our sample size is larger than other triplet studies in the literature. [2][3][4]8,9 The contemporary time frame of our study is vital because the field of obstetrics is very dynamic. Various clinical observations that may affect practice patterns are probably more relevant with the most recent data available.…”

Section: Discussionmentioning

confidence: 99%

Perinatal and Neonatal Outcomes of Triplet Gestations Based on Placental Chorionicity

Spencer

Ingardia²,

Nold³

et al. 2009

Amer J Perinatol

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The purpose of our study was to evaluate perinatal and neonatal outcomes in triplet gestations in relation to placental chorionicity. We hypothesized that triplets containing a monochorionic pair (dichorionic triamniotic) would have increased morbidity compared with triplets without a monochorionic pair (trichorionic triamniotic). We retrospectively analyzed all triplet sets > or =20 weeks delivering at our institutions from January 1995 through April 2007. Data were collected via perinatal and neonatal databases, chart review, and placental pathology. Individuals in dichorionic triamniotic triplet sets (N = 75), when compared with trichorionic triamniotic triplets (N = 309), were more likely to have a lower mean birth weight (P < 0.001) and lower gestational age at delivery (P < 0.001), spend more days in the neonatal intensive care unit (P = 0.045), have culture-proven sepsis (P = 0.02), and require intubation (P = 0.05). Multivariate analysis demonstrated that dichorionicity is not an independent cause of morbidity, but results in earlier delivery and lower birth weight. Dichorionic triamniotic triplets are at increased risk for earlier deliveries and lower birth weight at delivery compared with trichorionic triamniotic triplets.

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“…[9][10][11][12] However, only limited data exists for perinatal outcomes when comparing mode of conception for triplet pregnancies. 4,7,13 The purpose of this study is to evaluate neonatal outcomes in triplets conceived spontaneously versus via ART utilizing a large dataset.…”

mentioning

confidence: 99%