Favourable outcome in 33 triplet pregnancies managed between 1985–1990

Boulot, P.; Hédon, B.; Pelliccia, G.; Sarda, Pierre; Montoya, F.; Marès, P.; Humeau, C.; Arnal, F.; Laffargue, F; Viala, J. L.

doi:10.1016/0028-2243(92)90068-a

Cited by 32 publications

(21 citation statements)

References 16 publications

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“…Most of the children were delivered between 34 and 36 weeks of gestation. This is in agreement with the mean gestational age at delivery among most reports in the literature [3,5,8,9,18]. Therefore, we think that our growth curves do not reflect the natural history of triplet growth, since the potential of fetal triplet growth appears to be -in partdependent on the obstetrical management: indeed, the majority of women are hospitalized during the 7th month or earlier, observing bed rest.…”

Section: Discussionsupporting

confidence: 77%

“…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%

“…The frequency of triplet gestations among in vitro fertilization programs is about 4.3% in the world, 2.8% in France [1,2] leading to the collection of important series within short time intervals [3][4][5][6][7]. It is now possible, by collecting these data, to better evaluate the fetal growth.…”

Section: Introductionmentioning

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%

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

Vignal

Daurès²,

Vergnes³

et al. 1999

Fetal Diagn Ther

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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.

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Section: Discussionsupporting

confidence: 77%

Section: Patientsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Vignal

Daurès²,

Vergnes³

et al. 1999

Fetal Diagn Ther

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“…The advances in assisted reproduction techniques in the past few decades have resulted in an increased incidence of multifetal pregnancies [3,4] that are requiring more attention and resources to optimize perinatal outcome. However, perinatal outcomes in the last decade has improved [5,6], probably due to advances in neonatal care. Evidence for 'classical' interventions such as routine hospitalization, cervical cerclage, home uterine contractions monitoring, and oral tocolysis [7,8] is lacking.…”

Section: Introductionmentioning

confidence: 99%

Umbilical Artery Waveforms in Triplet and Quadruplet Pregnancies

Ezra¹,

Jones²,

Farine³

1999

Gynecol Obstet Invest

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The incidence of abnormal umbilical waveforms in triplet and quadruplet pregnancies and its correlation with adverse pregnancy outcome was studied by a retrospective review of all our triplet and quadruplet pregnancies (1986–1993) with documented Doppler flow assessment. Obstetrical outcomes were analyzed in relation to abnormal umbilical artery waveforms. Nineteen triplet and 4 quadruplet pregnancies were studied. Of 73 fetuses, 6 had abnormal umbilical artery waveforms (8.2%). All abnormal waveforms were characterized by persistent absence of the end-diastolic velocities (AEDV). In comparing the abnormal and normal groups, significant differences were found in birth weights (910 ± 433 vs. 1,724±434 g; p = 0.0004), small for gestational age rate [5/6 (83%) vs. 5/67 (7.5%); p = 0.0003], and perinatal mortality rate [3/6 (50%) vs. 2/67(3%); p = 0.001]. There were no differences in congenital anomalies, gestational age at birth, and neonatal intensive care admission. In conclusion, it seems that Doppler umbilical artery waveforms in multiple pregnancies were either normal or extremely abnormal (e.g. AEDV). AEDV was associated with adverse perinatal outcomes such as low birth weight, growth restriction and perinatal mortality.

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Fetal Growth Restriction

Liu

Khalil

2021

Twin and Higher-Order Pregnancies

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Favourable outcome in 33 triplet pregnancies managed between 1985–1990

Cited by 32 publications

References 16 publications

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

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

Umbilical Artery Waveforms in Triplet and Quadruplet Pregnancies

Fetal Growth Restriction

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