2005
DOI: 10.1111/j.1471-0528.2005.00627.x
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Prenatal diagnosis and obstetric outcomes in triplet pregnancies in relation to chorionicity

Abstract: Objective This study describes the frequency, pregnancy complications and outcomes of non-trichorionic triplet pregnancies. Design A retrospective observational study.Setting Two tertiary level referral centres of Obstetrics and Prenatal Medicine, Germany.Population All women booked to receive targeted ultrasound screening between January 1998 and June 2003.The mixed low and high risk population included 36,430 women with ultrasound examinations between 11 and 24 weeks of gestation. Of those with available out… Show more

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Cited by 71 publications
(80 citation statements)
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“…This translates into even earlier preterm delivery rates with increased morbidity, mortality, and long-term sequelae of prematurity as well as total pregnancy loss [5]. This trend is also noted in higher-order multifetal gestations [6]; for example, a triplet gestation that has a monochorionic twin pair is at higher risk of complications than a triplet gestation that is trichorionic [7].…”
Section: Introductionmentioning
confidence: 98%
“…This translates into even earlier preterm delivery rates with increased morbidity, mortality, and long-term sequelae of prematurity as well as total pregnancy loss [5]. This trend is also noted in higher-order multifetal gestations [6]; for example, a triplet gestation that has a monochorionic twin pair is at higher risk of complications than a triplet gestation that is trichorionic [7].…”
Section: Introductionmentioning
confidence: 98%
“…They are at risk of pre-term delivery, low birth weight, infant mortality, and increased long-term disability in survivors (Bernhard et al, 2009;Centers for Disease Control and Prevention, 2009;Kiely, 1998). Monochorionicity further increases the risk of morbidity and mortality (Geipel et al, 2005).…”
mentioning
confidence: 99%
“…Thus we could conclude that the rate of error in the classification of chorionicities by our referral department of placental anatomopathology was 2% (1/50). This misclassification rate takes into account the fact that retrospective studies like those of Agdebite et al (2005), Barjoria et al (2006) and Geipel et al (2005), which do not control their chorionicity with zygosity analysis, have at least a two per cent margin of error in their reported chorionicities. Studies conducted in this manner could thus appear partially skewed.…”
Section: Discussionmentioning
confidence: 99%
“…There are numerous recent studies showing the role of chorionicity in the prognosis of TP (Adegbite et al, 2005;Bajoria et al, 2006;Geipel et al, 2005); however, very few reports have evaluated the role of zygosity (a prime factor in chorionicity) in the prognosis of multiple pregnancies. Dubé et al (2002) compared the complications of twin pregnancies according to both their chorionicity and their zygosity.…”
Section: Discussionmentioning
confidence: 99%