Birth weight discordance and perinatal mortality among triplets

Autor: Egić Amira, Miković Željko, Filimonović Dejan, Ćirović Anka
Jazyk: English<br />Serbian
Rok vydání: 2005
Předmět:
Zdroj: Srpski Arhiv za Celokupno Lekarstvo, Vol 133, Iss 5-6, Pp 254-257 (2005)
Druh dokumentu: article
ISSN: 0370-8179
DOI: 10.2298/SARH0506254E
Popis: INTRODUCTION. The incidence of multiple births has increased in the last decade. Perinatal mortality in triplets is significantly greater than in twin and singleton births. OBJECTIVE. The objective of this study was to describe the extent of birth weight discordance among triplets and to identify its association with an increased risk of perinatal mortality. METHOD A retrospective analysis of triplet births, for the period 1993-2003, was conducted at the Gynaecological-Obstetric Clinic "Narodni Front" in Belgrade. Birth weight discordance was defined as the difference in birth weight between the largest and the smallest triplet's weight of more than 20%. RESULTS. The rate of triplets has increased by almost 75% between the first (7.7%) and the last (29.6%) 5-year period of the last decade. Triplets are becoming more common because of the frequent use of assisted reproductive technology as a treatment for infertility. In the period 1993-2003, there were a total of 40 triplet live births (24 weeks and greater) with incidence of 0.06%. There was no clear association between maternal age, parity, method of conception, birth gestational age, and disorders complicating pregnancy with birth discordance more than 20%. Regarding birth weight groups, statistical significance occurred only in the
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