General Principles for Counseling and Management of Triplet Pregnancies.
| Autor: | Mhatre M; Division of Maternal-Fetal Medicine, South Shore Hospital, South Weymouth., Craigo S; Division of Maternal-Fetal Medicine, Tufts Medical Center, Boston, Massachusetts. |
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| Jazyk: | angličtina |
| Zdroj: | Clinical obstetrics and gynecology [Clin Obstet Gynecol] 2023 Dec 01; Vol. 66 (4), pp. 854-863. Date of Electronic Publication: 2023 Nov 13. |
| DOI: | 10.1097/GRF.0000000000000814 |
| Abstrakt: | Compared with singleton pregnancies, triplet pregnancies are associated with a significantly increased risk of adverse pregnancy outcomes. Early ultrasound examination is the best way to diagnose triplets, establish dating, and determine the number of placentas to provide appropriate counseling and monitoring. Dichorionic placentation adds risks specifically associated with a shared placenta, and limits options for intervention. Multifetal reduction is an option that can significantly improve pregnancy outcomes compared with non-reduced triplet pregnancies. Integration of a Maternal-Fetal Medicine specialist in the prenatal care for a triplet pregnancy reduces the risk of preeclampsia, preterm birth, low birthweight infants, perinatal mortality, and major neonatal morbidity. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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