26例三胎妊娠：一项回顾性分析。

Twenty-six triplet pregnancies: a retrospective analysis.

作者信息

Kraemer Bernhard, Becker Sven, Kagan Karl Oliver, Hahn Markus, Rajab Taufiek K, Wallwiener Diethelm, Kraemer Elizabeth, Abele Harald

机构信息

Department of Obstetrics and Gynaecology, Women's University Hospital of the University of Tuebingen, Calwerstr. 7, 72076 Tübingen, Germany.

出版信息

Arch Gynecol Obstet. 2009 Apr;279(4):455-61. doi: 10.1007/s00404-009-0929-z. Epub 2009 Jan 17.

DOI:10.1007/s00404-009-0929-z

PMID:19151990

Abstract

METHODS

Twenty-six triplet pregnancies were delivered over 6 years.

RESULTS

Over 80% of pregnancies resulted after infertility treatment (21/26). Mean maternal age was 32. On average, the infants were delivered after 32 + 0 weeks; in 4 cases delivery was at <28 weeks. In 1 case, the leading triplet was delivered spontaneously, the remaining babies by Caesarean. Main indications for Caesarean were: premature membrane rupture, premature contractions, maternal hospitalisation for foetal lung maturation/tocolysis/antibiotics. Mean birth weights were (triplet I-III): 1,730, 1,630 and 1,550 g. Hydrops fetalis and renal agenesis resulted in IUFD of the leading triplet in two cases. All newborns were cared for by neonatology.

CONCLUSIONS

Triplet pregnancies are challenging for all specialities involved. They should be managed from an early stage in cooperation with an experienced centre, allowing outpatient care for as long as possible if there are no complications. This also has a cost-reducing impact.

摘要

方法

在6年期间共分娩26例三胎妊娠。

结果

超过80%的妊娠是在不孕治疗后受孕（21/26）。产妇平均年龄为32岁。婴儿平均在32 + 0周后分娩；4例在<28周时分娩。1例中，主胎儿自然分娩，其余婴儿剖宫产。剖宫产的主要指征为：胎膜早破、早产宫缩、产妇因胎儿肺成熟/宫缩抑制/抗生素治疗而住院。平均出生体重分别为（第一至第三个胎儿）：1730克、1630克和1550克。胎儿水肿和肾发育不全导致2例主胎儿胎死宫内。所有新生儿均由新生儿科护理。