PLANNED ABDOMINAL COMPARED WITH PLANNED VAGINAL BIRTH IN TRIPLET PREGNANCIES

Citation
Hij. Wildschut et al., PLANNED ABDOMINAL COMPARED WITH PLANNED VAGINAL BIRTH IN TRIPLET PREGNANCIES, British journal of obstetrics and gynaecology, 102(4), 1995, pp. 292-296
Citations number
20
Categorie Soggetti
Obsetric & Gynecology
ISSN journal
03065456
Volume
102
Issue
4
Year of publication
1995
Pages
292 - 296
Database
ISI
SICI code
0306-5456(1995)102:4<292:PACWPV>2.0.ZU;2-P
Abstract
Objective To compare a policy of planned abdominal delivery with a pol icy of planned vaginal delivery in triplet pregnancies. Design Retrosp ective study. Setting Two Dutch university hospitals, each having a di fferent approach to the planned mode of delivery in triplet gestations . Subjects Thirty women giving birth to triplets in the hospital in Le iden, who favoured planned abdominal delivery, compared with 39 from t he Medical Centre in Amsterdam who favoured vaginal delivery. Main out come measures Perinatal mortality and early neonatal complications. Re sults Both centres were equally successful in achieving their planned policies: in Leiden 80% of women were delivered by caesarean section b ut in Amsterdam 87% of women were delivered vaginally. Compared with v aginal delivery, planned abdominal delivery was associated with a sign ificantly higher perinatal mortality rate (P = 0.02), primarily due to respiratory distress syndrome, and a higher recorded neonatal complic ation rate (P = 0.03), especially sepsis, respiratory distress syndrom e, and necrotising enterocolitis. Conclusions A policy of planned abdo minal delivery in triplets is not superior to a policy of planned vagi nal delivery in terms of fetal and early neonatal outcome.