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Related Experiment Videos

Triplets are not so rare any more.

N Mordel1, Y Ezra, D Dorembus

  • 1Department of Obstetrics and Gynecology, Hadassah Medical Center, Hebrew University Hadassah Medical School, Jerusalem, Israel.

Journal of Perinatal Medicine
|January 1, 1992
PubMed
Summary

Triplet pregnancies, often resulting from ovulation induction, pose significant management challenges due to increased risks for mother and baby. Coordinated care across high-risk pregnancy units is essential.

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Area of Science:

  • Obstetrics and Gynecology
  • Neonatology
  • Reproductive Medicine

Background:

  • Triplet gestations present substantial management challenges.
  • High rates of antenatal, intrapartum, and neonatal complications are associated with multiple births.
  • The advent of ovulation-inducing agents has led to a notable increase in triplet pregnancies.

Purpose of the Study:

  • To highlight the increasing incidence of triplet gestations.
  • To underscore the associated complications and management difficulties.
  • To emphasize the need for coordinated multidisciplinary care.

Main Methods:

  • Retrospective analysis of triplet gestation frequency over a 10-year period (1978-1987).
  • Comparison of incidence rates before and after the widespread introduction of ovulation-inducing agents.

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  • Observation of associated neonatal complication rates.

    • Main Results:

    • Triplet gestation frequency in the department increased 2-4 fold, from 0.07-0.14% to 0.28% of all deliveries.
    • This rise corresponds with the increased use of ovulation induction agents.
    • A threefold increase in the frequency of triplet neonates and their complications was observed.

    Conclusions:

    • Triplet pregnancies are becoming more common, transitioning from rare to routine high-risk cases.
    • The increasing incidence necessitates a coordinated approach involving high-risk pregnancy units, delivery rooms, and neonatal intensive care units.
    • Continued advancements in assisted reproductive techniques will likely further increase triplet rates, demanding ongoing adaptation of clinical management strategies.