title: [Neonatal morbidity and hospital mortality of preterm triplets.]
abstract: Background: multiple gestations have caused an increase in vulnerable preterm births. Our objective was to analyze neonatal morbidity and mortality in preterm triplets. Methods: we analyzed a cohort of 30 triplets in an obstetrics and gynecology hospital. Data were obtained during pregnancy, childbirth and neonatal period: birth order, sex, weight, height, malformations, advanced resuscitation, assisted ventilation, intraventricular hemorrhage, necrotizing enterocolitis, sepsis, pulmonary hypertension, bronchopulmonary dysplasia, days of hospitalization, and death. Results: 90 infants were analyzed. There was an omphalopagus con-joined twins case; 42 (70 %) had between 30-33 weeks and six between 24-29; 19 (21 %) had low weight for gestational age, and 18 (30 %) had a major malformation; 27 % required ventilatory support, 33 % sepsis, 32 % necrotizing enterocolitis, 21 % pulmonary hypertension, 14 % bronchopulmonary dysplasia and 2 % intraventricular hemorrhage, without statistically significant differences related to the order, presentation at birth, sex and number of placentas and amniotic sacs. Eight 24-week triplets died, four over 28 weeks, and a siamese (p = 38). There was no difference in hospital days between triplets. Conclusions: the triplets mortality is low and mainly associated with extreme prematurity, intrauterine growth restriction and sepsis.
authors.affiliation: Médico residente de Pediatría Médica, Hospital Español, Distrito Federal, México. mario.rendon@imss.gob.mx.
authors.forename: Priscilla
authors.initials: P
authors.lastname: Lamshing-Salinas
authors.forename: Mario Enrique
authors.initials: ME
authors.lastname: Rend Ón-Macías
authors.forename: José
authors.initials: J
authors.lastname: Iglesias-Leboreiro
authors.forename: Isabel
authors.initials: I
authors.lastname: Bernárdez-Zapata
authors.forename: Ariela
authors.initials: A
authors.lastname: Braverman-Bronstein
keywords: nacimiento prematuro; premature birth; trillizos; triplets