阿曼一家三级医院三胎妊娠的母婴结局
Maternal and fetal outcomes of triplet gestation in a tertiary hospital in oman.
作者信息
Al-Shukri Maryam, Khan Durdana, Al-Hadrami Atka, Al-Riyami Nihal, Gowri Vaidyanathan, Haddabi Rahma, Abdellatif Mohammed, Al-Dughaishi Tamima
机构信息
Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital;
Oman Medical Specialty Board; Sultan Qaboos University; Muscat, Oman.
出版信息
Sultan Qaboos Univ Med J. 2014 May;14(2):e204-10. Epub 2014 Apr 7.
OBJECTIVES
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.
CONCLUSION
The maternal and neonatal outcomes of triplet pregnancies were similar to those reported in other studies.
目的
本研究旨在描述三胎妊娠的胎儿和母亲结局，并报告阿曼一家三级医疗中心这些妊娠的母亲特征。
方法
对2009年1月至2011年12月在阿曼马斯喀特苏丹卡布斯大学医院分娩的所有三胎妊娠进行回顾性研究。
结果
在三年的研究期间，共有9140例分娩。其中，三胎妊娠有18例，发生率为0.2%。分娩时的平均孕周为31.0±3.0周，平均出生体重为1594±460克。最常见的母亲并发症是13例妊娠（72.2%）发生早产，7例（39%）发生妊娠期糖尿病，5例（28%）发生妊娠期高血压。在所有分娩中，共有54名新生儿。这些新生儿的并发症包括25名新生儿（46%）发生透明膜病，24名（43%）发生高胆红素血症，18名（33%）发生败血症，8名（15%）发生贫血。围产儿死亡率为每1000例出生55例。
结论
三胎妊娠的母亲和新生儿结局与其他研究报告的相似。
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