The maternal and neonatal outcome of triplet gestations

Am J Obstet Gynecol. 1996 May;174(5):1551-6. doi: 10.1016/s0002-9378(96)70605-1.


Objective: Our purpose was to determine the contemporary maternal and neonatal outcome of triplet gestations.

Study design: A retrospective review of 57 triplet deliveries between April 1, 1989, and July 31, 1994, was performed.

Results: The mean gestational age at delivery was 33.0 +/- 2.7 weeks, and the mean birth weight was 1820 +/- 513 gm. The most common maternal complications were preterm labor (86.0%), anemia (58.1%), preeclampsia (33.3%), preterm premature rupture of the membranes (17.5%), postpartum hemorrhage (12.3%), and HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome (10.5%). Neonatal complications included hyaline membrane disease (29.6%), transient tachypnea of the newborn (20.1%), intraventricular hemorrhage (7.7%), and major congenital anomalies (7.1%). The perinatal mortality was 41 per 1000. Birth order had no significant effect on the incidence of neonatal complications.

Conclusion: Perinatal mortality rates have improved in recent years but remain higher than for singleton gestations. Despite increasing experience with triplets, the rate of maternal complications is high.

MeSH terms

  • Female
  • Humans
  • Incidence
  • Infant, Newborn
  • Infant, Newborn, Diseases / epidemiology
  • Male
  • Obstetric Labor Complications / epidemiology
  • Ovulation Induction
  • Pregnancy
  • Pregnancy Complications / epidemiology
  • Pregnancy Outcome*
  • Pregnancy, Multiple*
  • Reproductive Techniques
  • Respiration Disorders / epidemiology
  • Retrospective Studies
  • Triplets