Study of a Population of Triplet Pregnancies: Maternal and Neonatal Outcomes

Caserta, Donatella

doi:10.4172/2167-0897.1000104

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…While advances in obstetric and neonatal care have generally improved pregnancy outcomes, triplet and higher order pregnancies remain challenging to manage. When compared with singleton and twin pregnancies, triplet pregnancies are associated with a higher risk of neonatal complications particularly related to prematurity (Barkehall-Thomas et al, 2003; Caserta et al, 2012). 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).…”

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confidence: 99%

Triplet Pregnancy: Is the Mode of Conception Related to Perinatal Outcomes?

et al. 2015

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Many triplets are conceived as a consequence of assisted reproductive technology (ART). Concerns have been raised that triplet pregnancies conceived by ART are more complicated than those conceived spontaneously. The purpose of this study was to evaluate all triplet pregnancies managed over a 12-year period to determine if there were any differences in outcome based on the mode of conception. All triplet pregnancies between 1999 and 2011 that reached at least 20 weeks' gestation and that were managed at the Royal Women's Hospital (RWH), Melbourne, Victoria were identified. Maternal and neonatal outcomes were compared between ART conceived and spontaneously conceived triplets. In the study period, 53 sets of triplets managed in our institution met the eligibility criteria. Twenty-five triplet sets were conceived by ART and 28 were conceived spontaneously. More ART conceptions resulted in trichorionic triamniotic (TCTA) triplets than did spontaneous conceptions (p = .015). There were no differences between ART and spontaneously conceived triplets for any of the maternal or neonatal complications studied. Trichorionic (TC) triplets delivered at a later gestation than other triplets: 32.1 (SD 2.9) versus 30.4 (SD 3.9) weeks (p = .08). TC triplets were significantly less likely to die than monochorionic (MC) or dichorionic (DC) triplets: 3/93 (3%) versus 13/66 (20%) (p = .025). In conclusion, triplets conceived by ART are more likely to have TCTA placentation and TCTA triplet sets had lower mortality rates than other triplet combinations. Outcomes for triplets conceived by ART were similar to those of triplets conceived spontaneously.

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Triplet Pregnancy: Is the Mode of Conception Related to Perinatal Outcomes?

et al. 2015

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“…Today, one such point is multiple cancers developing especially in this organ [2]. Perhaps, a most engaging view is also the delivery of triplets [3]. Therefore, we are persuaded that, if the one (triplet) heralds the other (triple tumors), the documentation of both of them is likely to constitute a good goal for recondite research [4].…”

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confidence: 99%

Is The Begetting of Triplets Associated With The Developing of 3 Breast Primaries?

Onuigbo¹

2017

CTOIJ

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A Birmingham (UK) group considered in 1980 that the establishment of a Histopathology data pool encourages epidemiologic analysis. Consequently, the senior author (WIBO) had such an advantageous opportunity. Interestingly, the junior author (GEN), working in a near Surgical Outpatient Clinic, was consulted by a gravid 5, para 8, patient, i.e., one twin and a set of triplets. Moreover, she also developed 3 breast carcinomas. Therefore, this paper is documented in order to stimulate worldwide interest in this peculiar combination. Is it only happenstance or an explicable natural event?

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“…[ 2 ] Other factors associated with twinning are advanced maternal age[ 3 ] and with the advent of the assisted reproductive technique, the twining rate has increased. [ 4 ] Even as these hold true for fraternal twins, which is the most common; this is not the case for identical twins. Twinning in Nigeria occurs with a frequency of 40.2 per 1000 deliveries, which is among the highest rates in the world.…”

Section: Introductionmentioning

confidence: 99%

Dysmorphism in one of a set of male twins; Could they have been identical twins? A diagnostic dilemma

Aliyu¹

2014

J Family Med Prim Care

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Twinning occurs worldwide, but Nigerian women of the southwest extraction record one of the highest rates in the world. Among the notable risk factors for fraternal twinning is advanced maternal age, which is also an independent risk factor for Down syndrome. Even as morphological characteristics can easily be applied to distinguish identical from fraternal twins, in cases of an associated dysmorphism, in any member of the couplet, it becomes a difficult tool to use, as has been observed in the case of a set of twins who were of the same sex, blood group, hemoglobin genotype, and shared the same placenta.

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Study of a Population of Triplet Pregnancies: Maternal and Neonatal Outcomes

Cited by 3 publications

References 23 publications

Triplet Pregnancy: Is the Mode of Conception Related to Perinatal Outcomes?

Triplet Pregnancy: Is the Mode of Conception Related to Perinatal Outcomes?

Is The Begetting of Triplets Associated With The Developing of 3 Breast Primaries?

Dysmorphism in one of a set of male twins; Could they have been identical twins? A diagnostic dilemma

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