Management of triplet pregnancies in the 1980s : are we doing better ?

摘要: The incidence of triplet pregnancies has increased with the introduction ovulation induction agents and is expected to further increase implementation multiple embryo transfer in vitro fertilization programs. We review our experience 29 last 10 years. Despite early sonographic diagnosis, close follow-up, use tocolytics, prophylactic cervical suture, we could not document prolongation pregnancy, infants' weight, or a significantly decreased perinatal mortality, which still remains about 14%. Furthermore, cesarean section as delivery method choice did change well-documented unfavorable relationship between birth order fetal outcome. There an urgent need for prospective assessment value different treatment modalities, nowadays becomes possible increasing pregnancies. prevention by selective reduction deserves second thought.