Triplet pregnancies: perinatal outcome evolution
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10316/109659 https://doi.org/10.1590/so100-720320140005066 |
Resumo: | PURPOSE: To evaluate the obstetric and perinatal outcomes evolution of triplet pregnancies. METHODS: A prospective observational study was conducted in triplet pregnancies delivered over 16 years in a tertiary obstetric center with differentiated perinatal support. Evaluation of demographic factors, obstetric complications, gestational age at delivery, mode of delivery, birth weight and immediate newborn outcome were done over a 16 years period. A global characterization of the sample was performed considering the listed parameters. Variables were categorized in three groups according to year of occurrence: 1996–2000, 2001–2006, 2007–2011, and all parameters were compared. RESULTS: Of the 33 triplets included, 72.7% resulted from induced pregnancies. All except one patient received prenatal corticosteroids and five received tocolytics. All women delivered prenatally and no significant differences were seen in the mean gestational age at delivery or birth weight towards time. There were three intrauterine fetal deaths. Neonatal immediate outcomes were not significantly different over the years. CONCLUSION: Despite remarkable progresses in perinatal and neonatal cares, no noticeable impact in triplet gestations’ outcomes was seen, sustaining that triplets should be avoided due to their great risk of prematurity and neonatal morbidities, either by limiting the numbers of embryos transferred or by fetal reduction. |
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7160 |
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Triplet pregnancies: perinatal outcome evolutionEvolução dos resultados perinatais em gestações triplesPregnancy, tripletTripletsEmbryo transferFetal reduction, multifetalGravidez de trigêmeosTrigêmeosTransferência embrionáriaRedução de gravidez multifetalAdultFemaleHumansInfant, NewbornPregnancyProspective StudiesTime FactorsPregnancy OutcomePregnancy, TripletPURPOSE: To evaluate the obstetric and perinatal outcomes evolution of triplet pregnancies. METHODS: A prospective observational study was conducted in triplet pregnancies delivered over 16 years in a tertiary obstetric center with differentiated perinatal support. Evaluation of demographic factors, obstetric complications, gestational age at delivery, mode of delivery, birth weight and immediate newborn outcome were done over a 16 years period. A global characterization of the sample was performed considering the listed parameters. Variables were categorized in three groups according to year of occurrence: 1996–2000, 2001–2006, 2007–2011, and all parameters were compared. RESULTS: Of the 33 triplets included, 72.7% resulted from induced pregnancies. All except one patient received prenatal corticosteroids and five received tocolytics. All women delivered prenatally and no significant differences were seen in the mean gestational age at delivery or birth weight towards time. There were three intrauterine fetal deaths. Neonatal immediate outcomes were not significantly different over the years. CONCLUSION: Despite remarkable progresses in perinatal and neonatal cares, no noticeable impact in triplet gestations’ outcomes was seen, sustaining that triplets should be avoided due to their great risk of prematurity and neonatal morbidities, either by limiting the numbers of embryos transferred or by fetal reduction.OBJETIVO: Avaliar a evolução obstétrica e os resultados perinatais das gestações triplas. MÉTODOS: Um estudo observacional prospectivo foi realizado em gestações triplas durante 16 anos num centro obstétrico terciário com apoio perinatal diferenciado. Foram realizadas avaliações dos fatores demográficos, de complicações obstétricas, da idade gestacional ao parto, do tipo de parto, peso do recém-nascido e resultado neonatal imediato por um período de 16 anos. A caracterização global da amostra foi realizada considerando os parâmetros listados. As variáveis foram divididas em três grupos de acordo com o ano de ocorrência: 1996–2000, 2001–2006, 2007–2011, e todos os parâmetros foram comparados. RESULTADOS: Das 33 gestações triplas incluídas, 72,7% resultaram de gravidezes induzidas. Exceto uma paciente, todas receberam corticosteroides pré-natal e cinco efetuaram tocolíticos. Todas as mulheres tiveram um parto pré-termo e não se observaram diferenças significativas na idade gestacional média ao parto nem no peso ao nascer ao longo do tempo. Houve três óbitos fetais. Os resultados neonatais imediatos não foram significativamente diferentes ao longo dos anos. CONCLUSÃO: Apesar dos avanços notáveis em cuidados perinatais e neonatais, nenhum impacto perceptível nos resultados de gestações triplas foi verificado. Essas gestações devem ser evitadas devido ao grande risco de prematuridade e morbilidade dos recém-nascidos, tanto por limitação do número de embriões transferidos como por redução fetal.Thieme2014-09info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/109659http://hdl.handle.net/10316/109659https://doi.org/10.1590/so100-720320140005066engAlmeida, Patrícia deDomingues, Ana PatríciaBelo, AdrianaFonseca, EtelvinaMoura, Pauloinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T08:46:28Zoai:estudogeral.uc.pt:10316/109659Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:25:49.161892Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Triplet pregnancies: perinatal outcome evolution Evolução dos resultados perinatais em gestações triples |
title |
Triplet pregnancies: perinatal outcome evolution |
spellingShingle |
Triplet pregnancies: perinatal outcome evolution Almeida, Patrícia de Pregnancy, triplet Triplets Embryo transfer Fetal reduction, multifetal Gravidez de trigêmeos Trigêmeos Transferência embrionária Redução de gravidez multifetal Adult Female Humans Infant, Newborn Pregnancy Prospective Studies Time Factors Pregnancy Outcome Pregnancy, Triplet |
title_short |
Triplet pregnancies: perinatal outcome evolution |
title_full |
Triplet pregnancies: perinatal outcome evolution |
title_fullStr |
Triplet pregnancies: perinatal outcome evolution |
title_full_unstemmed |
Triplet pregnancies: perinatal outcome evolution |
title_sort |
Triplet pregnancies: perinatal outcome evolution |
author |
Almeida, Patrícia de |
author_facet |
Almeida, Patrícia de Domingues, Ana Patrícia Belo, Adriana Fonseca, Etelvina Moura, Paulo |
author_role |
author |
author2 |
Domingues, Ana Patrícia Belo, Adriana Fonseca, Etelvina Moura, Paulo |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Almeida, Patrícia de Domingues, Ana Patrícia Belo, Adriana Fonseca, Etelvina Moura, Paulo |
dc.subject.por.fl_str_mv |
Pregnancy, triplet Triplets Embryo transfer Fetal reduction, multifetal Gravidez de trigêmeos Trigêmeos Transferência embrionária Redução de gravidez multifetal Adult Female Humans Infant, Newborn Pregnancy Prospective Studies Time Factors Pregnancy Outcome Pregnancy, Triplet |
topic |
Pregnancy, triplet Triplets Embryo transfer Fetal reduction, multifetal Gravidez de trigêmeos Trigêmeos Transferência embrionária Redução de gravidez multifetal Adult Female Humans Infant, Newborn Pregnancy Prospective Studies Time Factors Pregnancy Outcome Pregnancy, Triplet |
description |
PURPOSE: To evaluate the obstetric and perinatal outcomes evolution of triplet pregnancies. METHODS: A prospective observational study was conducted in triplet pregnancies delivered over 16 years in a tertiary obstetric center with differentiated perinatal support. Evaluation of demographic factors, obstetric complications, gestational age at delivery, mode of delivery, birth weight and immediate newborn outcome were done over a 16 years period. A global characterization of the sample was performed considering the listed parameters. Variables were categorized in three groups according to year of occurrence: 1996–2000, 2001–2006, 2007–2011, and all parameters were compared. RESULTS: Of the 33 triplets included, 72.7% resulted from induced pregnancies. All except one patient received prenatal corticosteroids and five received tocolytics. All women delivered prenatally and no significant differences were seen in the mean gestational age at delivery or birth weight towards time. There were three intrauterine fetal deaths. Neonatal immediate outcomes were not significantly different over the years. CONCLUSION: Despite remarkable progresses in perinatal and neonatal cares, no noticeable impact in triplet gestations’ outcomes was seen, sustaining that triplets should be avoided due to their great risk of prematurity and neonatal morbidities, either by limiting the numbers of embryos transferred or by fetal reduction. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-09 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10316/109659 http://hdl.handle.net/10316/109659 https://doi.org/10.1590/so100-720320140005066 |
url |
http://hdl.handle.net/10316/109659 https://doi.org/10.1590/so100-720320140005066 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Thieme |
publisher.none.fl_str_mv |
Thieme |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799134140167094272 |