Management and outcome of 21 triplet and quadruplet pregnancies.
The course of gestation and the outcome of fifteen triplet and six quadruplet pregnancies are reviewed. Twenty pregnancies followed induction of ovulation and only one was spontaneous. Bed rest, the use of beta-mimetics and betamethasone, and prolonged hospitalisation were part of the management. Elective cervical suture was not used. The most frequent antenatal complications were preterm labor, preterm rupture of membranes and pregnancy-induced hypertension. The median gestational age was 33.5 weeks in the triplets and 32 weeks in the quadruplets. The overall perinatal and neonatal mortality was 4.9%. The neonatal complications resulted from prematurity and sepsis.
Vervliet
J
J
Department of Obstetrics and Gynecology, University Hospital Antwerp, Edegem, Belgium.
De Cleyn
K
K
Renier
M
M
Janssens
P
P
Buytaert
P
P
Gerris
J
J
Delbeke
L
L
D000328:Adult; D001724:Birth Weight; D005260:Female; D005865:Gestational Age; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D011783:Quadruplets; D014310:Triplets