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三胞胎妊娠——三十年的观察:我们的情况是否有所改善?

Triplet pregnancies--a three-decade perspective: do we fare better?

机构信息

Department of Obstetrics & Gynecology, Technion - Israel Institute of Technology, Haifa, Israel; Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2013 Sep;170(1):82-4. doi: 10.1016/j.ejogrb.2013.05.008. Epub 2013 Jun 15.

DOI:10.1016/j.ejogrb.2013.05.008
PMID:23777976
Abstract

OBJECTIVES

To evaluate the impact of advances in perinatal and neonatal care in the past three decades on the outcome of triplet pregnancies.

STUDY DESIGN

We compared the outcome of 29 sets of triplets born in our medical center during 1978-1987 with 34 sets of triplets born in the same medical center during 2001-2011. Data were extracted from maternal and neonatal medical records.

RESULTS

There were no significant differences in mortality or morbidity in any of the studied outcome measures between the two epochs. Of the 34 women with triplet pregnancies in the present cohort only 28 (82%) took all three born babies home, not different from the 86% found in the early cohort. The overall take-home baby rate was 93% (95/102) in the present cohort, not different than the 86% (74/86) in the early cohort.

CONCLUSIONS

Despite technological advances in perinatal and neonatal care, there was no significant improvement in the outcome of triplet pregnancies during the past three decades.

摘要

目的

评估过去三十年围产期和新生儿护理的进步对三胞胎妊娠结局的影响。

研究设计

我们比较了 1978-1987 年期间在我们医疗中心出生的 29 组三胞胎与 2001-2011 年期间在同一医疗中心出生的 34 组三胞胎的结局。数据从母婴病历中提取。

结果

在两个时期的任何研究结果指标中,死亡率或发病率均无显著差异。在本队列中 34 名三胞胎孕妇中,只有 28 名(82%)将所有 3 名出生婴儿带回家,与早期队列中的 86%无差异。本队列的整体带娃回家率为 93%(95/102),与早期队列的 86%(74/86)无差异。

结论

尽管围产期和新生儿护理技术有所进步,但在过去三十年中,三胞胎妊娠的结局并没有显著改善。

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