Effects of selective reduction in triplet gestation: a comparative study of 80 cases managed with or without this procedure

Boulot, P.; Hédon, B.; Pelliccia, G.; Péray, Pascale; Laffargue, F; Viala, J. L.

doi:10.1016/s0015-0282(16)56167-6

Cited by 31 publications

(12 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…12,25 This may be due to factors relating to maternal-fetal nutrition, overcrowding, as well as placental insufficiency due to pregnancy-induced hypertension, which is a well-known complication of the multifetal pregnancy. 12,29,30 The mean GA at birth of the combined population of triplets and quadruplets in our study, at 31.4 weeks' gestation, is comparable with the GA ranges of 30 to 31 weeks for quadruplets and 32 to 33 weeks for triplet births that have previously been reported. 5,31,32 The mean GA of the twins in our study, at 31.4 weeks, is lower than the GA at birth of twins reported previously and may relate to the fact that ours is a tertiary referral center for high-risk pregnancies that tend to deliver prematurely, as well as the fact that we chose to limit our twin and triplet populations for the study to those delivering prematurely, i.e., prior to 37 weeks' gestation.…”

Section: Commentsupporting

confidence: 87%

Morbidity and Mortality of Preterm Twins and Higher-Order Multiple Births

et al. 2001

View full text Add to dashboard Cite

show abstract

Section: Commentsupporting

confidence: 87%

Morbidity and Mortality of Preterm Twins and Higher-Order Multiple Births

et al. 2001

View full text Add to dashboard Cite

show abstract

“…Promising benefits of selective embryo reduction for triplet pregnancy in early pregnancy include reduction of prematurity rate and maternal complications. 16 Nevertheless, there was no significant effect on the perinatal mortality rate of triplet neonates. There is a need for up-todate clinical data on the outcome of triplet neonates relevant to obstetricians in counseling the prospective parents.…”

mentioning

confidence: 90%

Changing Epidemiology of Triplet Pregnancy: Etiology and Outcome Over Twelve Years

Chen²,

Ling³

et al. 1996

Amer J Perinatol

View full text Add to dashboard Cite

Neonates of 34 triplet pregnancies were admitted to our neonatal unit over a twelve-year period (1983 to 1995), with an incidence of 1 out of 812 deliveries. Thirty (88%) of the pregnancies were the result of ovulation induction and artificial fertilization: artificial insemination from husband (n = 3), in vitro fertilization (n = 9), and gamete intra-fallopian transfer (n = 6). All except one had antenatal sonographic diagnosis, 79% in the first trimester. The most common pregnancy-related complication was preterm labor (56%). Twenty-seven (79%) were delivered by cesarean section. There were 101 live births (one stillborn). Mean gestation age was 33.6 +/- 2.94 weeks, mean birthweight 1809 +/- 485 g, with 7 extremely low birthweight (< 1000 g [6.8%]). Neonatal complications included respiratory distress syndrome (12%), intraventricular hemorrhage (8.8%), retinopathy of prematurity (8%), sepsis (3%), severe asphyxia (3%), and omphalopagus conjoined twins (1%). The perinatal and neonatal mortality was 49 per 1000 and 59 per 1000, respectively. The introduction of advanced artificial fertilization techniques and ovulation induction agents resulted in a major increase in multifetal gestations. Early prenatal diagnosis, judicious prolongation of gestation, and planned delivery by cesarean section combined with major improvement in neonatal care by experienced neonatologists has improved survival of triplet neonates.

show abstract

“…Five miscarriages occurred before 24 weeks of gesta-Vignal/Daures/Vergnes/Giacalone/Boulot tion. The principles of management of these pregnancies were previously reported [5,6]. In brief, leave from work, important reduction of maternal physical activity, and management at home by a midwife were counselled.…”

Section: Patientsmentioning

confidence: 99%

“…It is now possible, by collecting these data, to better evaluate the fetal growth. Based on the singleton norms, an important proportion of triplets are small for gestational age: more than 50% [5][6][7]. In utero growth retardation is one of the most common risk factors leading to perinatal death in triplets [5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Triplet Fetal Growth by Using Cross-Sectional Analysis of the Birth Weight

Vignal

Daurès²,

Vergnes³

et al. 1999

Fetal Diagn Ther

View full text Add to dashboard Cite

Objective: To model the growth of triplets. Method: Statistical analysis using data of a consecutive series of 76 triplet gestations (223 livebirths). Results: The best model to describe the growth was linear regression (r = 0.76; r² = 0.577; p < 0.0001; y = –2,858.05 + 139.66x). 34.2% of the sets had an intratriplet discordance rate of at least 25%, and 11.8% of the triplets had a maximum discordance rate over 40%. Conclusions: (1) Triplet fetal growth is strongly related to the gestational age; (2) the growth of each triplet in a same set may considerably differ, and (3) the use of singleton curves for triplet growth assessment is inadequate.

show abstract

Effects of selective reduction in triplet gestation: a comparative study of 80 cases managed with or without this procedure

Cited by 31 publications

References 13 publications

Morbidity and Mortality of Preterm Twins and Higher-Order Multiple Births

Morbidity and Mortality of Preterm Twins and Higher-Order Multiple Births

Changing Epidemiology of Triplet Pregnancy: Etiology and Outcome Over Twelve Years

Assessment of Triplet Fetal Growth by Using Cross-Sectional Analysis of the Birth Weight

Contact Info

Product

Resources

About