Perinatal outcome of triplet gestation: does prophylactic cerclage make a difference?

Elimian, Andrew; Figueroa, Reinaldo; Nigam, Sarvesh; Verma, Uma; Tejani, Nergesh; Kirshenbaum, Nancy

doi:10.1016/s1068-607x(98)00090-0

Cited by 8 publications

(6 citation statements)

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“…Also, no reduction in preterm delivery has been demonstrated with prophylactic cerclage in triplet pregnancies. In a study comparing 20 triplet pregnancies with prophylactic cerclage with 39 triplets with no cerclage, the mean gestational age at delivery in the cerclage group was not significantly different than the noncerclage group, 32.8 weeks versus 31.5 weeks, respectively (76).…”

Section: Cerclagementioning

confidence: 90%

Management of Multiple Pregnancy: Prenatal Care???Part I

Ayres

Johnson²

2005

Obstetrical & Gynecological Survey

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Section: Cerclagementioning

confidence: 90%

Management of Multiple Pregnancy: Prenatal Care???Part I

Ayres

Johnson²

2005

Obstetrical & Gynecological Survey

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“…9 Furthermore, 13% of all triplet pregnancies result in delivery at <28 weeks' gestation and subsequently result in long neonatal intensive care unit stays with significant comorbidities and perinatal mortality. 8 Although there have been conflicting studies, 10,11 research has generally shown 296…”

Section: Higher Order Multifetal Pregnanciesmentioning

confidence: 99%

“…[10][11][12] However, our retrospective case collection 13 compared the occurrence of extreme prematurity (<28 wk) in triplet gestations with a prophylactic TAC (N = 60), prophylactic vaginal cerclage (N = 31), or no cerclage placed (N = 50). The lowest rate of extreme prematurity was in those triplet gestations treated with a prophylactic TAC (2/60, 3.3%) compared with transvaginal cerclage (5/31, 16.1%) and no cerclage (6/50, 12.2).…”

Section: Higher Order Multifetal Pregnanciesmentioning

confidence: 99%

Transabdominal Cerclage

Sumners¹,

KUPER

Foster

2016

Clinical Obstetrics &Amp; Gynecology

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The transabdominal cerclage procedure was first introduced 50 years ago as an approach in those patients who had failed transvaginal cerclage. We review the history, indications, surgical technique, complications, and reported outcomes of the procedure. The procedure has evolved over time in its application and risks appear to be less than previously perceived. Physicians have found additional patient situations in which the procedure may be beneficial outside the indications defined 50 years ago. This is a valuable surgical technique which is likely underused.

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“…[14][15][16][17] Prophylactic therapies such as cervical cerclage, pessary placement, and administration of progesterone do not seem to be beneficial in decreasing the amount of preterm births and its accompanying neonatal mortality and morbidity. [18][19][20] Some clinicians advise prophylactic administration of corticosteroids to all women with a triplet pregnancy for acceleration of fetal lung matuartion, 9,21 irrespective of signs and symptoms that could announce preterm delivery. However, there is lack of evidence to support this practice.…”

mentioning

confidence: 99%

Prediction of Time to Delivery Week-by-Week in Women with a Triplet Pregnancy

et al. 2016

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Objective Some clinicians advise prophylactic administration of antenatal steroids for fetal lung maturation in women with a triplet pregnancy. However, the effect of corticosteroids is limited to 10 to 14 days after administration. The aim of this study was to assess the natural course of triplet pregnancies to allow a better anticipation for administration of corticosteroids. Study Design We collected data on all triplet pregnancies in the Netherlands from 1999 to 2007 from the Netherlands Perinatal Registration. We calculated time to delivery, the risk of delivery in 2-week intervals at different gestational ages, and the time frame between hospital admission and delivery of the first child. Results Median gestational age at delivery of 494 women with a triplet pregnancy was 33 þ4 weeks (interquartile range of 31-35 þ1 weeks). Twenty-one women (4.3%) delivered between 22 and 24 weeks and 146 women (29.6%) delivered before 32 weeks. At a gestational age of 24 weeks, the chance to deliver within the next week was 0.6%.

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Perinatal outcome of triplet gestation: does prophylactic cerclage make a difference?

Cited by 8 publications

References 0 publications

Management of Multiple Pregnancy: Prenatal Care???Part I

Management of Multiple Pregnancy: Prenatal Care???Part I

Transabdominal Cerclage

Prediction of Time to Delivery Week-by-Week in Women with a Triplet Pregnancy

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