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Related Experiment Video

Updated: Apr 23, 2026

Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
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Triplet pregnancies: perinatal outcome evolution.

Patrícia Almeida1, Ana Patrícia Domingues1, Adriana Belo2

  • 1Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Revista Brasileira De Ginecologia E Obstetricia : Revista Da Federacao Brasileira Das Sociedades De Ginecologia E Obstetricia
|September 18, 2014
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Advances in perinatal care have not improved outcomes for triplet pregnancies, which remain high-risk for prematurity and neonatal complications. Avoiding triplet gestations through embryo transfer limits or fetal reduction is recommended.

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Area of Science:

  • Maternal-Fetal Medicine
  • Perinatology
  • Reproductive Medicine

Background:

  • Triplet pregnancies pose significant risks to both maternal and neonatal health.
  • Advances in obstetric and neonatal care aim to mitigate these risks.
  • Longitudinal evaluation is crucial to assess the impact of evolving medical practices.

Purpose of the Study:

  • To evaluate the evolution of obstetric and perinatal outcomes in triplet pregnancies over a 16-year period.
  • To identify trends and assess the impact of medical advancements on triplet gestation outcomes.
  • To provide evidence-based recommendations for managing high-order multiple gestations.

Main Methods:

  • Prospective observational study of triplet pregnancies delivered over 16 years.
  • Data collection included demographic factors, obstetric complications, gestational age, mode of delivery, birth weight, and neonatal outcomes.
  • Statistical comparison of outcomes across three distinct time periods (1996-2000, 2001-2006, 2007-2011).

Main Results:

  • A total of 33 triplet pregnancies were analyzed.
  • Most pregnancies (72.7%) were induced; prenatal corticosteroids were widely administered.
  • No significant improvements were observed in gestational age at delivery, birth weight, or immediate neonatal outcomes over the study period.
  • Three intrauterine fetal deaths occurred.

Conclusions:

  • Despite advancements in perinatal and neonatal care, triplet gestations did not show improved outcomes.
  • The high risk of prematurity and neonatal morbidities associated with triplets persists.
  • Recommendations include limiting embryos transferred or considering fetal reduction to avoid triplet pregnancies.