Izvorni znanstveni članak
https://doi.org/10.22514/SV132.112017.11
Respiratory disorders and neonatal outcomes of triplet pregnancies – our ten year experience
KRZYSZTOF LACHOWSKI
; Students’ Scientific Club of Neonatology, Wrocław Medical University, Jan Mikulicz Radecki´s University Hospital, Wroclaw, Poland
MONIKA LACHOWSKA
KRZYSZTOF LACHOWSKI
BARBARA KRÓLAK-OLEJNIK
Sažetak
Objective. To compare respiratory disorders
(respiratory distress syndrome,
requirement for respiratory support, development
of chronic lung disease), duration
of hospitalization and other neonatal
outcomes between newborns born from
triplet pregnancies over a ten year period.
Methods. A retrospective analysis of 34
triplet pregnancies delivered between 2006
and 2015 in one perinatal tertiary centre.
Ninety-nine newborns from these pregnancies
were divided into 2 groups: one
consisted of 56 neonates (19 sets of triplets)
born between 2006 and 2011 and the
second contained 43 neonates delivered
from 15 triplet pregnancies between 2012
and 2015.
Results. There were no differences in the
incidence of respiratory distress syndrome
and chronic lung disease between group
I and group II. In both groups, a similar
amount of patients required respiratory
support. We did not notice any significant
differences in the type of ventilation (mechanical
ventilation or nasal continuous
positive airway pressure -nCPAP), duration
of ventilation, length of hospitalization
or the incidence of complications
of prematurity, such as 3rd or 4th grade
intraventricular hemorrhage (IVH) and
retinopathy of prematurity (ROP) stage >
2, between both groups.
Conclusion. Despite important progress
in perinatal care and wide use of advanced
technologies in neonatal intensive care
there has been no significant improvement
in neonatal outcomes of triplets during the
past 10 years. Multiple pregnancies still remain
a risk factor for respiratory disorders
and other neonatal complications in prematurely
delivered newborns.
Ključne riječi
triplets; newborn; respiratory disorders; outcome
Hrčak ID:
190612
URI
Datum izdavanja:
12.12.2017.
Posjeta: 711 *