How much have the perinatal outcomes of triplet pregnancies improved over the last two decades?
Obstetrics & Gynecology Science
; : 224-232, 2019.
Article
en En
| WPRIM
| ID: wpr-760653
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE: This study was conducted to demonstrate the temporal trends in perinatal outcomes of triplet pregnancies over the last two decades. METHODS: The medical records of patients with triplet pregnancies at two Korean tertiary-care hospitals from 1992 to 2012 were retrospectively reviewed in regard to maternal and neonatal outcomes. The study was divided into two periods for analysis: period I (1992–2001) and period II (2003–2012). RESULTS: Over a 21-year period, 65 women with triplet pregnancies and 185 neonates were analyzed. Period II, when compared with period I, was associated with improved maternal outcomes, characterized by a decreased incidence of preeclampsia (31.8% vs. 2.3%, P=0.002) and anemia (68.2% vs. 30.2%, P=0.003) during pregnancy. Regarding neonatal aspects, the composite morbidity of period II was significantly decreased compared with that of period I, as assessed with a generalized estimating equation for logistic regression (26.2% vs. 8.1%, P=0.03). Multivariable analysis revealed that the gestational age at delivery and the period were significantly associated with the composite neonatal morbidity (P<0.001 and 0.007, respectively). CONCLUSION: Improved neonatal morbidity was associated with a higher gestational age at delivery and with the more recent decade.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Preeclampsia
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Trillizos
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Resultado del Embarazo
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Modelos Logísticos
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Registros Médicos
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Incidencia
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Estudios Retrospectivos
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Edad Gestacional
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Nacimiento Prematuro
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Embarazo Triple
Tipo de estudio:
Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Female
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Humans
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Newborn
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Pregnancy
Idioma:
En
Revista:
Obstetrics & Gynecology Science
Año:
2019
Tipo del documento:
Article