Expectant management of triplets or multifetal reduction to twins; comparison of preterm delivery and live birth rates

Basit Öğe Kaydı
dc.authorscopusid55817903000
dc.authorscopusid6601953512
dc.authorscopusid56806587300
dc.authorscopusid8693678900
dc.contributor.authorKaramustafaoglu Balci, B.
dc.contributor.authorYayla, M.
dc.contributor.authorBulut, N.
dc.contributor.authorGoynumer, G.
dc.date.accessioned2021-12-01T18:38:51Z
dc.date.available2021-12-01T18:38:51Z
dc.date.issued2022
dc.department[Belirlenecek]en_US
dc.description.abstractObjective: The management of multiple pregnancies is still a challenge. The aim of this study was to compare the outcome of triplet pregnancies managed expectantly or by multifetal pregnancy reduction to twins. Study design: For this retrospective, comparative and monocentric study, the medical files of all women with triplets who admitted to our institution over a 13-year period were examined. Women requesting multifetal pregnancy reduction to have twins formed the study group, and women with triplets who wished to continue their pregnancies formed the control group. Main outcome measures were durations of pregnancies presented as number of weeks gestation, abortion rates, term and preterm birth rates, fetal loss and live birth rates. Results: During the study period, 171 women with triplets admitted to our institution. One hundred fifty one patients are included in this study. Forty-five women carrying triplets wished to continue their pregnancies and 106 women requested multifetal pregnancy reduction to have twins. Fetal reduction of triplets to twins was associated with a significantly lower incidence of birth before 34th gestational week and higher incidence of late preterm and term birth rates without changing live birth rates. Conclusion: Multifetal pregnancy reduction of triplet pregnancies to twins resulted in a later gestational age at birth compared with the triplet gestations managed expectantly. © 2021en_US
dc.identifier.doi10.1016/j.ejogrb.2021.11.001
dc.identifier.endpage21en_US
dc.identifier.issn03012115
dc.identifier.pmid34794070en_US
dc.identifier.scopus2-s2.0-85119275656en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage18en_US
dc.identifier.urihttps://doi.org/10.1016/j.ejogrb.2021.11.001
dc.identifier.urihttps://hdl.handle.net/20.500.12684/9875
dc.identifier.volume268en_US
dc.identifier.wosWOS:000820633900004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Ireland Ltden_US
dc.relation.ispartofEuropean Journal of Obstetrics and Gynecology and Reproductive Biologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAssisted reproductive technologiesen_US
dc.subjectMultifetal pregnancy reductionen_US
dc.subjectReduced twinsen_US
dc.subjectTripletsen_US
dc.titleExpectant management of triplets or multifetal reduction to twins; comparison of preterm delivery and live birth ratesen_US
dc.typeArticleen_US

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