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Pregled bibliografske jedinice broj: 107193

Hospitalization vs. outpatient care in the management of triplet gestations


Škrablin, Snježana; Kuvačić, Ivan; Jukić, Petar; Kalafatić, Držislav; Peter, Branimir
Hospitalization vs. outpatient care in the management of triplet gestations // International journal of gynecology and obstetrics, 77 (2002), 3; 223-229 (recenziran, članak, stručni)


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Naslov
Hospitalization vs. outpatient care in the management of triplet gestations

Autori
Škrablin, Snježana ; Kuvačić, Ivan ; Jukić, Petar ; Kalafatić, Držislav ; Peter, Branimir

Izvornik
International journal of gynecology and obstetrics (0020-7292) 77 (2002), 3; 223-229

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
mamagement of the triplet gestation; perinatal care

Sažetak
To compare the course and outcome of triplet gestations under a preventive care strategy that includes hospitalization, surveillance, bed rest, and daily specialized care from the beginning of the second trimester, with pregnancies managed according to the Croatian standard outpatient care protocol for multiplets. METHODS: A retrospective study of 79 triplet pregnancies. Preventive hospitalization from the beginning of the second trimester, with complete bed rest and all necessary interventions, was chosen by 55 women (Group I). The remaining 24 women (Group II) elected the standard outpatient protocol for multiple pregnancies. Outpatient management with prophylactic bed rest was initiated at home as soon as the multiple pregnancy was diagnosed. After 28 weeks of gestation, all outpatients were hospitalized until delivery irrespective of symptoms. RESULTS: There was no difference between the groups regarding maternal age, race, pre-pregnancy weight and height, weight gain during the first 24 weeks of pregnancy, or the proportion of pregnancies achieved with assisted reproductive technology. Four out of 55 women (7.2%) from Group I and 4 out of 24 women (12.5%) from Group II had monochorionic triplet pregnancies (P=n.s.). Nulliparity was more frequent in Group I than in Group II (P=0.006). Elective cesarean delivery was significantly more frequent in Group I (46 out of 55 gestations, 72.7%) than in Group II (9 out of 24 gestations, 37.5%), P=0.024. Gestational age at delivery and mean birth weight were significantly higher in Group I than in Group II (P<0.001). Deliveries up to 28 weeks of pregnancy were infrequent in Group I (P=0.02). Thirty-three gestations in Group I (60%) and 6 (25%) in Group II had a duration of 33-36 weeks (P<0.001). Two out of 55 triplet gestations in Group I (3.6%) and 4 out of 24 in Group II (16.7%) ended in spontaneous abortion (P=0.053). The survival of the three triplets was more frequent in Group I than in Group II (P=0.048). For gestations reaching 24 weeks or more, the fetal and perinatal death rate was significantly lower in Group I (P<0.001). In Group I the intrauterine death rate for fetuses weighing 1500 g or less was also significantly lower (P=0.007), and the early neonatal death rate was almost half (15.8 vs. 28.9%, P=0.157). There were no differences in other pregnancy complications between the two groups except significantly more frequent preterm premature rupture of membranes and preterm labor requiring parenteral tocolysis in Group II (P=0.042 and 0.036, respectively), and significantly more frequent fetal growth retardation in Group I (P<0.001). CONCLUSION: Preventive hospitalization offers a better outcome for triplets even though prolonged hospitalization and all other procedures necessary to achieve optimal pregnancy outcome are also offered in the Croatian standard outpatient care protocol for multiplet pregnancies.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA


Projekt / tema
0045002
0108159
0108261

Ustanove
Klinika za dijabetes, endokrinologiju i bolesti metabolizma Vuk Vrhovac,
Medicinski fakultet, Zagreb

Citiraj ovu publikaciju

Škrablin, Snježana; Kuvačić, Ivan; Jukić, Petar; Kalafatić, Držislav; Peter, Branimir
Hospitalization vs. outpatient care in the management of triplet gestations // International journal of gynecology and obstetrics, 77 (2002), 3; 223-229 (recenziran, članak, stručni)
Škrablin, S., Kuvačić, I., Jukić, P., Kalafatić, D. & Peter, B. (2002) Hospitalization vs. outpatient care in the management of triplet gestations. International journal of gynecology and obstetrics, 77 (3), 223-229.
@article{article, year = {2002}, pages = {223-229}, keywords = {mamagement of the triplet gestation, perinatal care}, journal = {International journal of gynecology and obstetrics}, volume = {77}, number = {3}, issn = {0020-7292}, title = {Hospitalization vs. outpatient care in the management of triplet gestations}, keyword = {mamagement of the triplet gestation, perinatal care} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


Uključenost u ostale bibliografske baze podataka:


  • Chemical Abstracts
  • BIOSIS
  • EMBASE
  • MEDLINE
  • Pascal et Francis (INST-CNRS)
  • Scopus





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