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. 2014 May;14(2):e204-10.
Epub 2014 Apr 7.

Maternal and fetal outcomes of triplet gestation in a tertiary hospital in oman

Maryam Al-Shukri  1 , Durdana Khan  1 , Atka Al-Hadrami  2 , Nihal Al-Riyami  1 , Vaidyanathan Gowri  3 , Rahma Haddabi  1 , Mohammed Abdellatif  4 , Tamima Al-Dughaishi  1
Affiliations

Maternal and fetal outcomes of triplet gestation in a tertiary hospital in oman

Maryam Al-Shukri et al. Sultan Qaboos Univ Med J. 2014 May.

Abstract

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.

Keywords: Fertility; Fetus, complications; Morbidity; Oman; Perinatal Mortality; Preterm Births; Triplet Pregnancies.

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Figures

Figure 1:
Figure 1:
Gestational age group of the neonates at delivery.
Figure 2:
Figure 2:
Maternal complications of the triplet pregnancies. DM = diabetes mellitus; HTN = hypertension; PUPPS = pruritic urticarial papules and plaques of pregnancy.
Figure 3:
Figure 3:
Neonatal complications of the triplet pregnancies (N = 18). ROP = retinopathy of prematurity; GERD = gastroesophageal reflux disease; NEC = necrotising enterocolitis; PDA = patent ductus arteriosus; ASD = atrial septal defect; RDS = respiratory distress syndrome of the newborn.
See this image and copyright information in PMC

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