title: Higher order multiple births: natural wonder or failure of therapy?
abstract: Data of 601 families with triplets and higher multiples have been collected. Since about nine years the number of higher-order births has been increasing enormously. The average pregnancy duration and the average birthweight of these mostly premature children have been declining from year to year. Despite the progress in neonatology, the death rate and the rate of handicapped children is very high. To prevent such disastrous outcomes, treatments for infertility should be performed only by physicians in centers with strong controls. Selective abortions are no regular solution to the problem of higher multiple gestation.
authors.affiliation: ABC Club, International Organisation for Triplets and Higher Multiples, Darmstadt, West Germany.
authors.forename: H
authors.initials: H
authors.lastname: Grützner-Könnecke
authors.forename: P
authors.initials: P
authors.lastname: Grützner
authors.forename: B
authors.initials: B
authors.lastname: Grützner
authors.forename: U
authors.initials: U
authors.lastname: Grützner
authors.forename: A
authors.initials: A
authors.lastname: Spalding-Grützner
authors.forename: P
authors.initials: P
authors.lastname: Spalding
mesh_terms: D001724:Birth Weight; D000013:Congenital Abnormalities / Q000209:etiology; D004624:Embryo Transfer / Q000009:adverse effects; D005260:Female; D005313:Fetal Death / Q000209:etiology; D005858:Germany / Q000453:epidemiology; D005865:Gestational Age; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000401:mortality; D011247:Pregnancy; D011272:Pregnancy, Multiple; D011783:Quadruplets; D011811:Quintuplets; D014310:Triplets