title: Maternal and fetal outcomes of triplet gestation in a tertiary hospital in oman.
abstract: OBJECTIVE
  The aim of this study was to describe the fetal and maternal outcomes of triplet gestation and to report on the maternal characteristics of those pregnancies in a tertiary care centre in Oman.
  
  
  METHODS
  A retrospective study was undertaken of all triplet pregnancies delivered at Sultan Qaboos University Hospital, Muscat, Oman, between January 2009 and December 2011.
  
  
  RESULTS
  Over the three-year study period, there were 9,140 deliveries. Of these, there were 18 triplet pregnancies, giving a frequency of 0.2%. The mean gestational age at delivery was 31.0 ± 3.0 weeks, and the mean birth weight was 1,594 ± 460 g. The most common maternal complications were preterm labour in 13 pregnancies (72.2%), gestational diabetes in 7 (39%) and gestational hypertension in 5 (28%). Of the total deliveries, there were 54 neonates. Neonatal complications among these included hyaline membrane disease in 25 neonates (46%), hyperbilirubinaemia in 24 (43%), sepsis in 18 (33%) and anaemia in 8 (15%). The perinatal mortality rate was 55 per 1,000 births.
  
  
  CONCLUSIONS
  The maternal and neonatal outcomes of triplet pregnancies were similar to those reported in other studies.
authors.affiliation: Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital;
authors.forename: Maryam
authors.initials: M
authors.lastname: Al-Shukri
authors.affiliation: Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital;
authors.forename: Durdana
authors.initials: D
authors.lastname: Khan
authors.affiliation: Oman Medical Specialty Board; Sultan Qaboos University; Muscat, Oman.
authors.forename: Atka
authors.initials: A
authors.lastname: Al-Hadrami
authors.affiliation: Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital;
authors.forename: Nihal
authors.initials: N
authors.lastname: Al-Riyami
authors.affiliation: Department of Obstetrics & Gynaecology, College of Medicine & Health Sciences, Sultan Qaboos University; Muscat, Oman.
authors.forename: Vaidyanathan
authors.initials: V
authors.lastname: Gowri
authors.affiliation: Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital;
authors.forename: Rahma
authors.initials: R
authors.lastname: Haddabi
authors.affiliation: Child Health, Sultan Qaboos University Hospital;
authors.forename: Mohammed
authors.initials: M
authors.lastname: Abdellatif
authors.affiliation: Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital;
authors.forename: Tamima
authors.initials: T
authors.lastname: Al-Dughaishi
keywords: Fertility; Fetus, complications; Morbidity; Oman; Perinatal Mortality; Preterm Births; Triplet Pregnancies