Anales de pediatria (Barcelona, Spain : 2003) · 2008
[Neonatal outcome of triplets].
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Wörner N T, Perapoch López J, Sánchez de Toledo Sancho J, Higueras Sanz T, Fina Martí A, Salcedo Abizanda S
Аннотация
OBJECTIVE: To determine the neonatal morbidity and mortality in triplets.
METHOD: Retrospective study of 189 triplets born between January'98 and December'04.
RESULTS: Mean maternal age was 33 years. Of the pregnancies, 71.4 % were achieved using fertilization techniques, 84 % received antenatal steroids and 96.8 % of births were by caesarean section. The mean gestational age was 32 weeks (246-355), with a mean birth weight of 1,500 g (450-2,650). There 53.4 % were female neonates. Cardiopulmonary resuscitation (CPR) at birth was not required by 82 %, 13.5 % required bag-mask ventilation and 4.9 % required advanced CPR. Low/moderate respiratory distress syndrome was observed in 27 % of the infants (oxygen/CPAP), and 19 % required mechanical ventilation and surfactant. 12 % showed patent ductus arteriosus was seen in 12 %, necrotizing enterocolitis in 4.2 %, sepsis (vertical and nosocomial), 17 %, grade III retinopathy in 1.1 % and 7.4 % had bronchopulmonary dysplasia. Grade III/IV intraventricular haemorrhage was present in 4.2 %, and 3.2 % periventricular leukomalacia. Survival rate at discharge from hospital was 95.2 %. Of those, 10 % showed risk of serious sequelae defined as: grade III-IV intraventricular haemorrhage, periventricular leukomalacia, grade III retinopathy and bronchopulmonary dysplasia. There were no major complications in 64.5 % of the children. Despite a prematurity rate of 100 %, this large series of triplets shows an excellent survival and a relatively low serious associated morbidity. It is also important to point out the intensive perinatological follow-up to which these pregnancies are subject.
METHOD: Retrospective study of 189 triplets born between January'98 and December'04.
RESULTS: Mean maternal age was 33 years. Of the pregnancies, 71.4 % were achieved using fertilization techniques, 84 % received antenatal steroids and 96.8 % of births were by caesarean section. The mean gestational age was 32 weeks (246-355), with a mean birth weight of 1,500 g (450-2,650). There 53.4 % were female neonates. Cardiopulmonary resuscitation (CPR) at birth was not required by 82 %, 13.5 % required bag-mask ventilation and 4.9 % required advanced CPR. Low/moderate respiratory distress syndrome was observed in 27 % of the infants (oxygen/CPAP), and 19 % required mechanical ventilation and surfactant. 12 % showed patent ductus arteriosus was seen in 12 %, necrotizing enterocolitis in 4.2 %, sepsis (vertical and nosocomial), 17 %, grade III retinopathy in 1.1 % and 7.4 % had bronchopulmonary dysplasia. Grade III/IV intraventricular haemorrhage was present in 4.2 %, and 3.2 % periventricular leukomalacia. Survival rate at discharge from hospital was 95.2 %. Of those, 10 % showed risk of serious sequelae defined as: grade III-IV intraventricular haemorrhage, periventricular leukomalacia, grade III retinopathy and bronchopulmonary dysplasia. There were no major complications in 64.5 % of the children. Despite a prematurity rate of 100 %, this large series of triplets shows an excellent survival and a relatively low serious associated morbidity. It is also important to point out the intensive perinatological follow-up to which these pregnancies are subject.