Outcomes of dichorionic triplet pregnancies

Stephen T. Chasen, Huda B. Al-Kouatly, Praveen Ballabh, Daniel W. Skupski, Frank A. Chervenak

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

OBJECTIVE: The objective of this study was to describe outcomes in a series of dichorionic triplet pregnancies. STUDY DESIGN: All triplet pregnancies evaluated in our obstetric sonography unit from 1993 to 2000 were identified. Those containing a monochorionic twin pair were included. Prenatal and neonatal records were reviewed. Statistical comparison was performed by using Wilcoxon matched-pairs signed-ranked sum test. RESULTS: Seventeen cases met inclusion criteria. Two pregnancies (11.8%) were delivered spontaneously before viability, at 22 and 21 weeks. Twin-twin transfusion syndrome was diagnosed in the second trimester in the monochorionic pair in 3 pregnancies (17.6%). In the remaining 12 pregnancies, mean gestational age at delivery was 33.5 ± 2.3 weeks. The median birth weight of 23 neonates from individual monochorionic twin pairs was 1810 g (interquartile range, 1540-2180 g), which was significantly lower than the median birth weight of 12 triplets supplied by a separate placenta, 2125 g (interquartile range, 1762-2390 g) (P = .01). CONCLUSION: Twin-twin transfusion syndrome or spontaneous loss before viability complicated approximately 30% of dichorionic triplet pregnancies. Lower birth weights were noted in triplets from monochorionic twin pairs.

Original languageEnglish (US)
Pages (from-to)765-767
Number of pages3
JournalAmerican Journal of Obstetrics and Gynecology
Volume186
Issue number4
DOIs
StatePublished - 2002
Externally publishedYes

Fingerprint

Triplet Pregnancy
Birth Weight
Fetofetal Transfusion
Pregnancy
Second Pregnancy Trimester
Placenta
Gestational Age
Obstetrics
Ultrasonography

Keywords

  • Chorionicity
  • Multifetal pregnancy
  • Triplets

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Chasen, S. T., Al-Kouatly, H. B., Ballabh, P., Skupski, D. W., & Chervenak, F. A. (2002). Outcomes of dichorionic triplet pregnancies. American Journal of Obstetrics and Gynecology, 186(4), 765-767. https://doi.org/10.1067/mob.2002.122097

Outcomes of dichorionic triplet pregnancies. / Chasen, Stephen T.; Al-Kouatly, Huda B.; Ballabh, Praveen; Skupski, Daniel W.; Chervenak, Frank A.

In: American Journal of Obstetrics and Gynecology, Vol. 186, No. 4, 2002, p. 765-767.

Research output: Contribution to journalArticle

Chasen, ST, Al-Kouatly, HB, Ballabh, P, Skupski, DW & Chervenak, FA 2002, 'Outcomes of dichorionic triplet pregnancies', American Journal of Obstetrics and Gynecology, vol. 186, no. 4, pp. 765-767. https://doi.org/10.1067/mob.2002.122097
Chasen, Stephen T. ; Al-Kouatly, Huda B. ; Ballabh, Praveen ; Skupski, Daniel W. ; Chervenak, Frank A. / Outcomes of dichorionic triplet pregnancies. In: American Journal of Obstetrics and Gynecology. 2002 ; Vol. 186, No. 4. pp. 765-767.
@article{7fc7b1b69add4a4ea7b14544589ce15a,
title = "Outcomes of dichorionic triplet pregnancies",
abstract = "OBJECTIVE: The objective of this study was to describe outcomes in a series of dichorionic triplet pregnancies. STUDY DESIGN: All triplet pregnancies evaluated in our obstetric sonography unit from 1993 to 2000 were identified. Those containing a monochorionic twin pair were included. Prenatal and neonatal records were reviewed. Statistical comparison was performed by using Wilcoxon matched-pairs signed-ranked sum test. RESULTS: Seventeen cases met inclusion criteria. Two pregnancies (11.8{\%}) were delivered spontaneously before viability, at 22 and 21 weeks. Twin-twin transfusion syndrome was diagnosed in the second trimester in the monochorionic pair in 3 pregnancies (17.6{\%}). In the remaining 12 pregnancies, mean gestational age at delivery was 33.5 ± 2.3 weeks. The median birth weight of 23 neonates from individual monochorionic twin pairs was 1810 g (interquartile range, 1540-2180 g), which was significantly lower than the median birth weight of 12 triplets supplied by a separate placenta, 2125 g (interquartile range, 1762-2390 g) (P = .01). CONCLUSION: Twin-twin transfusion syndrome or spontaneous loss before viability complicated approximately 30{\%} of dichorionic triplet pregnancies. Lower birth weights were noted in triplets from monochorionic twin pairs.",
keywords = "Chorionicity, Multifetal pregnancy, Triplets",
author = "Chasen, {Stephen T.} and Al-Kouatly, {Huda B.} and Praveen Ballabh and Skupski, {Daniel W.} and Chervenak, {Frank A.}",
year = "2002",
doi = "10.1067/mob.2002.122097",
language = "English (US)",
volume = "186",
pages = "765--767",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "4",

}

TY - JOUR

T1 - Outcomes of dichorionic triplet pregnancies

AU - Chasen, Stephen T.

AU - Al-Kouatly, Huda B.

AU - Ballabh, Praveen

AU - Skupski, Daniel W.

AU - Chervenak, Frank A.

PY - 2002

Y1 - 2002

N2 - OBJECTIVE: The objective of this study was to describe outcomes in a series of dichorionic triplet pregnancies. STUDY DESIGN: All triplet pregnancies evaluated in our obstetric sonography unit from 1993 to 2000 were identified. Those containing a monochorionic twin pair were included. Prenatal and neonatal records were reviewed. Statistical comparison was performed by using Wilcoxon matched-pairs signed-ranked sum test. RESULTS: Seventeen cases met inclusion criteria. Two pregnancies (11.8%) were delivered spontaneously before viability, at 22 and 21 weeks. Twin-twin transfusion syndrome was diagnosed in the second trimester in the monochorionic pair in 3 pregnancies (17.6%). In the remaining 12 pregnancies, mean gestational age at delivery was 33.5 ± 2.3 weeks. The median birth weight of 23 neonates from individual monochorionic twin pairs was 1810 g (interquartile range, 1540-2180 g), which was significantly lower than the median birth weight of 12 triplets supplied by a separate placenta, 2125 g (interquartile range, 1762-2390 g) (P = .01). CONCLUSION: Twin-twin transfusion syndrome or spontaneous loss before viability complicated approximately 30% of dichorionic triplet pregnancies. Lower birth weights were noted in triplets from monochorionic twin pairs.

AB - OBJECTIVE: The objective of this study was to describe outcomes in a series of dichorionic triplet pregnancies. STUDY DESIGN: All triplet pregnancies evaluated in our obstetric sonography unit from 1993 to 2000 were identified. Those containing a monochorionic twin pair were included. Prenatal and neonatal records were reviewed. Statistical comparison was performed by using Wilcoxon matched-pairs signed-ranked sum test. RESULTS: Seventeen cases met inclusion criteria. Two pregnancies (11.8%) were delivered spontaneously before viability, at 22 and 21 weeks. Twin-twin transfusion syndrome was diagnosed in the second trimester in the monochorionic pair in 3 pregnancies (17.6%). In the remaining 12 pregnancies, mean gestational age at delivery was 33.5 ± 2.3 weeks. The median birth weight of 23 neonates from individual monochorionic twin pairs was 1810 g (interquartile range, 1540-2180 g), which was significantly lower than the median birth weight of 12 triplets supplied by a separate placenta, 2125 g (interquartile range, 1762-2390 g) (P = .01). CONCLUSION: Twin-twin transfusion syndrome or spontaneous loss before viability complicated approximately 30% of dichorionic triplet pregnancies. Lower birth weights were noted in triplets from monochorionic twin pairs.

KW - Chorionicity

KW - Multifetal pregnancy

KW - Triplets

UR - http://www.scopus.com/inward/record.url?scp=0036264245&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036264245&partnerID=8YFLogxK

U2 - 10.1067/mob.2002.122097

DO - 10.1067/mob.2002.122097

M3 - Article

C2 - 11967504

AN - SCOPUS:0036264245

VL - 186

SP - 765

EP - 767

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 4

ER -