Perinatal outcomes according to the mode of delivery in women with a triplet pregnancy in The Netherlands
| Autor: | Ben W.J. Mol, Lidewij van de Mheen, Joost Velzel, Sabine Ensing, Lester Bergenhenegouwen, Marjolein Kok, Anita C.J. Ravelli |
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| Přispěvatelé: | Obstetrics and gynaecology, Amsterdam Reproduction & Development (AR&D), Pediatric surgery, Obstetrics and Gynaecology, Graduate School, APH - Methodology, APH - Quality of Care, APH - Aging & Later Life, Medical Informatics, APH - Health Behaviors & Chronic Diseases |
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Perinatal outcome Gestational Age Infant Newborn Diseases 03 medical and health sciences 0302 clinical medicine Pregnancy Triplet Pregnancy medicine Humans 030212 general & internal medicine Perinatal Mortality Netherlands Retrospective Studies 030219 obstetrics & reproductive medicine Obstetrics business.industry Cesarean Section Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Puerperal Disorders Delivery Obstetric Pregnancy Triplet Mode of delivery Pediatrics Perinatology and Child Health Female Morbidity business Cohort study |
| Zdroj: | Journal of Maternal-Fetal and Neonatal Medicine, 32(22), 3771-3777. Informa Healthcare Mol, B W, Bergenhenegouwen, L, Velzel, J, Ensing, S, van de Mheen, L, Ravelli, A C & Kok, M 2019, ' Perinatal outcomes according to the mode of delivery in women with a triplet pregnancy in The Netherlands ', Journal of Maternal-Fetal and Neonatal Medicine, vol. 32, no. 22, pp. 3771-3777 . https://doi.org/10.1080/14767058.2018.1471680 journal of maternal-fetal & neonatal medicine, 32(22), 3771-3777. Informa Healthcare |
| ISSN: | 1476-4954 1476-7058 |
| DOI: | 10.1080/14767058.2018.1471680 |
| Popis: | OBJECTIVE: In women with a triplet pregnancy, there is debate on the preferred mode of delivery. We performed a nationwide cohort study to assess the impact of mode of delivery on perinatal outcome in women with a triplet pregnancy.METHODS: Nationwide cohort study on women with a triplet pregnancy who delivered between 26 + 0 and 40 + 0 weeks of gestation in the years 1999-2008. We compared perinatal outcomes according to the intended mode of delivery and the actual mode of delivery. Outcome measures were perinatal mortality and neonatal morbidity. Perinatal outcomes were analyzed taking into account the dependency between the children of the same triplet pregnancy ("any mortality" and "any morbidity") and were also analyzed separately per child.RESULTS: We identified 386 women with a triplet pregnancy in the study period. Mean gestational age at delivery was 33.1 weeks (SD 2.5 weeks; range 26.0-40.0 weeks). Perinatal mortality was 2.3% for women with a planned caesarean section and 2.4% in women with a planned vaginal delivery (aOR 0.37; 95% confidence interval (CI) 0.09-1.5) and neonatal morbidity was 26.0% versus 36.0%, (aOR 0.88; 95% CI 0.51-1.4) respectively. In the subgroup analyses according to gestational age and in the analysis of perinatal outcomes per child separately, there were also no large differences in perinatal outcomes. The same applied for perinatal outcomes according to the actual mode of delivery.CONCLUSION: In this large cohort study among women with a triplet pregnancy, caesarean delivery is not associated with reduced perinatal mortality and morbidity. |
| Databáze: | OpenAIRE |
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