Perinatal outcome of triplet gestation

Does prophylactic cerclage make a difference

A. Elimian, R. Figueroa, S. Nigam, U. Verma, N. Tejani, N. Kirshenbaum

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Objective: To compare the perinatal outcome of triplet gestations with and without prophylactic cerclage. Methods: A retrospective chart review of all triplet gestations delivered between January 1988 and June 1997 was performed. Only women initiating prenatal care before 15 weeks gestation were included. The cerclage group was compared to the no-cerclage group for maternal and perinatal outcome variables. Student t-test, Chi-square, and Fisher's exact test were used for analysis. Results: Twenty of the 59 (33.8%) sets of triplet gestations had prophylactic cerclage. There were no differences between groups when compared for maternal age, parity, preterm labor rate, gestational diabetes, anemia, antenatal steroid use, histologic chorioamnionitis, and postoperative endometritis. In addition, there were no differences in mean birth weight, Apgar scores, respiratory distress syndrome (RDS), intraventricular hemorrhage/periventricular leucomalacia (IVH/PVL), and neonatal mortality. Although the mean gestational age at delivery for the cerclage group (32.8 ± 2.4 weeks) was not different from the no-cerclage group (31.5 ± 3.6 weeks), the proportion of pregnancies delivered at 31 weeks or more, and at 32 weeks or more, was significantly higher in the cerclage group (90 vs. 62%, P = .02; 80 vs. 54%, P = .05), respectively. In addition, the incidence of extremely low birth weight (LBW) was significantly decreased in the cerclage compared with the no-cerclage group (1.7 vs. 15.4%, P = .005). Conclusions: Prophylactic cerclage decreased significantly the incidence of extremely LBW neonates in triplet pregnancies. The proportion of neonates delivered at 31 weeks or more, and at 32 weeks or more was higher in the cerclage group.

Original languageEnglish (US)
Pages (from-to)119-122
Number of pages4
JournalJournal of Maternal-Fetal Medicine
Volume8
Issue number3
DOIs
StatePublished - 1999
Externally publishedYes

Fingerprint

Pregnancy
Low Birth Weight Infant
Triplet Pregnancy
Newborn Infant
Periventricular Leukomalacia
Chorioamnionitis
Endometritis
Prenatal Care
Gestational Diabetes
Apgar Score
Premature Obstetric Labor
Incidence
Maternal Age
Infant Mortality
Chi-Square Distribution
Parity
Birth Weight
Gestational Age
Anemia
Steroids

Keywords

  • Low birth weight
  • Prophylactic cerclage
  • Triplet pregnancies

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Perinatal outcome of triplet gestation : Does prophylactic cerclage make a difference. / Elimian, A.; Figueroa, R.; Nigam, S.; Verma, U.; Tejani, N.; Kirshenbaum, N.

In: Journal of Maternal-Fetal Medicine, Vol. 8, No. 3, 1999, p. 119-122.

Research output: Contribution to journalArticle

Elimian, A. ; Figueroa, R. ; Nigam, S. ; Verma, U. ; Tejani, N. ; Kirshenbaum, N. / Perinatal outcome of triplet gestation : Does prophylactic cerclage make a difference. In: Journal of Maternal-Fetal Medicine. 1999 ; Vol. 8, No. 3. pp. 119-122.
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AU - Tejani, N.

AU - Kirshenbaum, N.

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N2 - Objective: To compare the perinatal outcome of triplet gestations with and without prophylactic cerclage. Methods: A retrospective chart review of all triplet gestations delivered between January 1988 and June 1997 was performed. Only women initiating prenatal care before 15 weeks gestation were included. The cerclage group was compared to the no-cerclage group for maternal and perinatal outcome variables. Student t-test, Chi-square, and Fisher's exact test were used for analysis. Results: Twenty of the 59 (33.8%) sets of triplet gestations had prophylactic cerclage. There were no differences between groups when compared for maternal age, parity, preterm labor rate, gestational diabetes, anemia, antenatal steroid use, histologic chorioamnionitis, and postoperative endometritis. In addition, there were no differences in mean birth weight, Apgar scores, respiratory distress syndrome (RDS), intraventricular hemorrhage/periventricular leucomalacia (IVH/PVL), and neonatal mortality. Although the mean gestational age at delivery for the cerclage group (32.8 ± 2.4 weeks) was not different from the no-cerclage group (31.5 ± 3.6 weeks), the proportion of pregnancies delivered at 31 weeks or more, and at 32 weeks or more, was significantly higher in the cerclage group (90 vs. 62%, P = .02; 80 vs. 54%, P = .05), respectively. In addition, the incidence of extremely low birth weight (LBW) was significantly decreased in the cerclage compared with the no-cerclage group (1.7 vs. 15.4%, P = .005). Conclusions: Prophylactic cerclage decreased significantly the incidence of extremely LBW neonates in triplet pregnancies. The proportion of neonates delivered at 31 weeks or more, and at 32 weeks or more was higher in the cerclage group.

AB - Objective: To compare the perinatal outcome of triplet gestations with and without prophylactic cerclage. Methods: A retrospective chart review of all triplet gestations delivered between January 1988 and June 1997 was performed. Only women initiating prenatal care before 15 weeks gestation were included. The cerclage group was compared to the no-cerclage group for maternal and perinatal outcome variables. Student t-test, Chi-square, and Fisher's exact test were used for analysis. Results: Twenty of the 59 (33.8%) sets of triplet gestations had prophylactic cerclage. There were no differences between groups when compared for maternal age, parity, preterm labor rate, gestational diabetes, anemia, antenatal steroid use, histologic chorioamnionitis, and postoperative endometritis. In addition, there were no differences in mean birth weight, Apgar scores, respiratory distress syndrome (RDS), intraventricular hemorrhage/periventricular leucomalacia (IVH/PVL), and neonatal mortality. Although the mean gestational age at delivery for the cerclage group (32.8 ± 2.4 weeks) was not different from the no-cerclage group (31.5 ± 3.6 weeks), the proportion of pregnancies delivered at 31 weeks or more, and at 32 weeks or more, was significantly higher in the cerclage group (90 vs. 62%, P = .02; 80 vs. 54%, P = .05), respectively. In addition, the incidence of extremely low birth weight (LBW) was significantly decreased in the cerclage compared with the no-cerclage group (1.7 vs. 15.4%, P = .005). Conclusions: Prophylactic cerclage decreased significantly the incidence of extremely LBW neonates in triplet pregnancies. The proportion of neonates delivered at 31 weeks or more, and at 32 weeks or more was higher in the cerclage group.

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