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Multiple Gestations: Management of Pregnancy and Delivery

Published online by Cambridge University Press:  01 August 2014

Andrew Loucopoulos ,
Raphael Jewelewicz  and
Raymond L. Vande Wiele
Andrew Loucopoulos
Affiliation:
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, Columbia University, College of Physicians and Surgeons, New York
Raphael Jewelewicz*
Affiliation:
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, Columbia University, College of Physicians and Surgeons, New York
Raymond L. Vande Wiele
Affiliation:
Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, Columbia University, College of Physicians and Surgeons, New York
*
Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, New York, NY 10032

Abstract

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The antenatal management and outcome of 31 higher-order multiple gestations, 24 triplets, six quadruplets, and one set of quintuplets were analyzed. Bedrest was advised as soon as the diagnosis was made; hospitalization along with the administration of betamethasone and phenobarbital was begun during the second trimester. Caesarian section was performed on 13 women (42%). The overall mortality rate was 14.8%; excluding neonates less than 28 weeks of age, however, it became 7.5%. The primary cause of death was respiratory distress syndrome.

Keywords

TripletsQuadrupletsQuintupletsBedrestBetamethasonePhenobarbital
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 31 , Issue 3-4: Special Issue on Twin Pregnancies , July 1982 , pp. 263 - 266
Copyright
Copyright © The International Society for Twin Studies 1982

References

REFERENCES

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2. Maurer, H, Wolff, G, Poppers, P, Kuntzman, R, Finster, M, Pantuck, E, Conney, A (1968): Reduction in concentration of total serum bilirubrin in offspring of women treated with phenobarbitone during pregnancy. Lancet Vol 2:122–124.Google Scholar