Triplet and higher-order births: what is the optimal delivery route?

Acta Genet Med Gemellol (Roma)

Department of Obstetrics, University Hospital, Gent, Belgium.

Published: March 1989

Data concerning 16 triplet and higher-order deliveries (resulting in a total of 56 infants) are reviewed. The vaginal delivery rate was 81%. Maternal morbidity was more serious after abdominal delivery. Prematurity (less than 36 weeks gestation) rate amounted to 68%. Overall perinatal and neonatal mortalities for infants born after 28 weeks gestation and weighing at least 1000 g were 7% and 3%, respectively. We doubt that neonatal outcome could have been markedly improved by performing more cesareans. The importance of antenatal care is stressed.

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http://dx.doi.org/10.1017/s000156600000430xDOI Listing

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