Maternal and Perinatal Outcome of Triplet Pregnancies in a Tertiary Care Hospital in North India: A Prospective Observational Study
Background: The purpose of this study was to identify the present trends in maternal, foetal, and perinatal outcomes and complications associated with triplet pregnancy at a tertiary referral hospital in India. Methods: A prospective observational study was conducted over 18 months. All adult p...
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Riyadh Second Health Cluster Research Center, King Fahad Medical City (KFMC)
2024-12-01
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| Series: | The Journal of Medicine, Law & Public Health |
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| author | Sabreen Wani Fiza Amin Shagufta Yasmeen Rather |
| author_facet | Sabreen Wani Fiza Amin Shagufta Yasmeen Rather |
| author_sort | Sabreen Wani |
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Background: The purpose of this study was to identify the present trends in maternal, foetal, and perinatal outcomes and complications associated with triplet pregnancy at a tertiary referral hospital in India.
Methods: A prospective observational study was conducted over 18 months. All adult pregnant patients with ultrasound-confirmed triplet pregnancy were included. Patient demographics, measurements, and variables were recorded, with monitoring and follow-up at regular intervals. The primary endpoint of the analysis was to determine the maternal complications and perinatal outcomes associated with triplet pregnancy.
Results: Thirty-four triplet pregnancies were included in this study. The majority, 70.7% (n=31) of these women, had conceived by assisted reproductive technique (ART), mostly in vitro fertilisation (IVF), 52.9% (n=18). The most common maternal complications encountered were pre-term labour, in 82.4% (n=28) of patients. Concerning gestational age at the time of delivery, 47.1% (n=16) of patients were near-term (34-36 weeks). The majority of pregnancies, 85.3% (n=29), were terminated by lower segment caesarean section (LSCS), 8.8% (n=3) were delivered vaginally, and the mean duration of maternal hospital stay was 4.6 days ±3.45 (SD 2-14) days. Only 11.8% (n=4) required a prolonged hospital stay of > 7 days due to maternal complications. Ninety-four out of 102 triplets were born alive, with a mean birth weight of 1,597.3 grams ± (SD 367.74 g). The various foetal/neonatal complications were noted, with the commonest being prematurity in 85.3% (n=29). The majority of triplet neonates with complications had a mean duration of NICU stay less than 1 week, 70.8% (n=17).
Conclusion: While triplet pregnancies remain rare, they are associated with a significant materno-foetal risk which must be anticipated by obstetricians. Thus, early diagnosis, adequate antenatal care, counselling, and perinatal care and support can help to ensure optimal outcomes.
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| format | Article |
| id | doaj-art-d8771ddd81af489785c87284518f18d2 |
| institution | Kabale University |
| issn | 2788-9815 2788-791X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Riyadh Second Health Cluster Research Center, King Fahad Medical City (KFMC) |
| record_format | Article |
| series | The Journal of Medicine, Law & Public Health |
| spelling | doaj-art-d8771ddd81af489785c87284518f18d22025-01-30T12:38:36ZengRiyadh Second Health Cluster Research Center, King Fahad Medical City (KFMC)The Journal of Medicine, Law & Public Health2788-98152788-791X2024-12-0151Maternal and Perinatal Outcome of Triplet Pregnancies in a Tertiary Care Hospital in North India: A Prospective Observational StudySabreen Wani0Fiza Amin1Shagufta Yasmeen Rather2Department of Gynaecology & Obstetrics, Government Medical College, Srinagar, 190001, J&K, India.Department of Gynaecology & Obstetrics, Government Medical College, Srinagar, 190001, J&K, India.Department of Gynaecology & Obstetrics, Government Medical College, Srinagar, 190001, J&K, India. Background: The purpose of this study was to identify the present trends in maternal, foetal, and perinatal outcomes and complications associated with triplet pregnancy at a tertiary referral hospital in India. Methods: A prospective observational study was conducted over 18 months. All adult pregnant patients with ultrasound-confirmed triplet pregnancy were included. Patient demographics, measurements, and variables were recorded, with monitoring and follow-up at regular intervals. The primary endpoint of the analysis was to determine the maternal complications and perinatal outcomes associated with triplet pregnancy. Results: Thirty-four triplet pregnancies were included in this study. The majority, 70.7% (n=31) of these women, had conceived by assisted reproductive technique (ART), mostly in vitro fertilisation (IVF), 52.9% (n=18). The most common maternal complications encountered were pre-term labour, in 82.4% (n=28) of patients. Concerning gestational age at the time of delivery, 47.1% (n=16) of patients were near-term (34-36 weeks). The majority of pregnancies, 85.3% (n=29), were terminated by lower segment caesarean section (LSCS), 8.8% (n=3) were delivered vaginally, and the mean duration of maternal hospital stay was 4.6 days ±3.45 (SD 2-14) days. Only 11.8% (n=4) required a prolonged hospital stay of > 7 days due to maternal complications. Ninety-four out of 102 triplets were born alive, with a mean birth weight of 1,597.3 grams ± (SD 367.74 g). The various foetal/neonatal complications were noted, with the commonest being prematurity in 85.3% (n=29). The majority of triplet neonates with complications had a mean duration of NICU stay less than 1 week, 70.8% (n=17). Conclusion: While triplet pregnancies remain rare, they are associated with a significant materno-foetal risk which must be anticipated by obstetricians. Thus, early diagnosis, adequate antenatal care, counselling, and perinatal care and support can help to ensure optimal outcomes. https://jmlph.net/index.php/jmlph/article/view/143TripletPregnancy,Maternal complications,Perinatal Outcome,Prematurity |
| spellingShingle | Sabreen Wani Fiza Amin Shagufta Yasmeen Rather Maternal and Perinatal Outcome of Triplet Pregnancies in a Tertiary Care Hospital in North India: A Prospective Observational Study The Journal of Medicine, Law & Public Health TripletPregnancy,Maternal complications,Perinatal Outcome,Prematurity |
| title | Maternal and Perinatal Outcome of Triplet Pregnancies in a Tertiary Care Hospital in North India: A Prospective Observational Study |
| title_full | Maternal and Perinatal Outcome of Triplet Pregnancies in a Tertiary Care Hospital in North India: A Prospective Observational Study |
| title_fullStr | Maternal and Perinatal Outcome of Triplet Pregnancies in a Tertiary Care Hospital in North India: A Prospective Observational Study |
| title_full_unstemmed | Maternal and Perinatal Outcome of Triplet Pregnancies in a Tertiary Care Hospital in North India: A Prospective Observational Study |
| title_short | Maternal and Perinatal Outcome of Triplet Pregnancies in a Tertiary Care Hospital in North India: A Prospective Observational Study |
| title_sort | maternal and perinatal outcome of triplet pregnancies in a tertiary care hospital in north india a prospective observational study |
| topic | TripletPregnancy,Maternal complications,Perinatal Outcome,Prematurity |
| url | https://jmlph.net/index.php/jmlph/article/view/143 |
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