Prediction of Time to Delivery Week-by-Week in Women with a Triplet Pregnancy

L. Van De Mheen; A. C. Ravelli; M. A. Oudijk; S. Nij Bijvank; M. M. Porath; J. J. Duvekot; M. A.G.Holswilder Olde Scholtenhuis; K. W.M. Bloemenkamp; H. C.J. Scheepers; M. Woiski; M. G.Van Pampus; C. J.De Groot; E. Pajkrt; B. W.J. Mol

doi:10.1055/s-0036-1583190

Prediction of Time to Delivery Week-by-Week in Women with a Triplet Pregnancy

L. Van De Mheen^*, A. C. Ravelli, M. A. Oudijk, S. Nij Bijvank, M. M. Porath, J. J. Duvekot, M. A.G.Holswilder Olde Scholtenhuis, K. W.M. Bloemenkamp, H. C.J. Scheepers, M. Woiski, M. G.Van Pampus, C. J.De Groot, E. Pajkrt, B. W.J. Mol

^*Corresponding author for this work

Applied Health Sciences

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5 Citations (Scopus)

Abstract

Objective Some clinicians advise prophylactic administration of antenatal steroids for fetal lung maturation in women with a triplet pregnancy. However, the effect of corticosteroids is limited to 10 to 14 days after administration. The aim of this study was to assess the natural course of triplet pregnancies to allow a better anticipation for administration of corticosteroids. Study Design We collected data on all triplet pregnancies in the Netherlands from 1999 to 2007 from the Netherlands Perinatal Registration. We calculated time to delivery, the risk of delivery in 2-week intervals at different gestational ages, and the time frame between hospital admission and delivery of the first child. Results Median gestational age at delivery of 494 women with a triplet pregnancy was 33⁺⁴ weeks (interquartile range of 31-35⁺¹ weeks). Twenty-one women (4.3%) delivered between 22 and 24 weeks and 146 women (29.6%) delivered before 32 weeks. At a gestational age of 24 weeks, the chance to deliver within the next week was 0.6%.

Original language	English
Pages (from-to)	1394-1400
Number of pages	7
Journal	American journal of perinatology
Volume	33
Issue number	14
Early online date	11 May 2016
DOIs	https://doi.org/10.1055/s-0036-1583190
Publication status	Published - 2016

Keywords

antenatal steroid treatment
neonatal outcome
preterm birth
triplet pregnancy

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Van De Mheen, L., Ravelli, A. C., Oudijk, M. A., Bijvank, S. N., Porath, M. M., Duvekot, J. J., Scholtenhuis, M. A. G. H. O., Bloemenkamp, K. W. M., Scheepers, H. C. J., Woiski, M., Pampus, M. G. V., Groot, C. J. D., Pajkrt, E., & Mol, B. W. J. (2016). Prediction of Time to Delivery Week-by-Week in Women with a Triplet Pregnancy. American journal of perinatology, 33(14), 1394-1400. https://doi.org/10.1055/s-0036-1583190

Van De Mheen, L, Ravelli, AC, Oudijk, MA, Bijvank, SN, Porath, MM, Duvekot, JJ, Scholtenhuis, MAGHO, Bloemenkamp, KWM, Scheepers, HCJ, Woiski, M, Pampus, MGV, Groot, CJD, Pajkrt, E & Mol, BWJ 2016, 'Prediction of Time to Delivery Week-by-Week in Women with a Triplet Pregnancy', American journal of perinatology, vol. 33, no. 14, pp. 1394-1400. https://doi.org/10.1055/s-0036-1583190

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abstract = "Objective Some clinicians advise prophylactic administration of antenatal steroids for fetal lung maturation in women with a triplet pregnancy. However, the effect of corticosteroids is limited to 10 to 14 days after administration. The aim of this study was to assess the natural course of triplet pregnancies to allow a better anticipation for administration of corticosteroids. Study Design We collected data on all triplet pregnancies in the Netherlands from 1999 to 2007 from the Netherlands Perinatal Registration. We calculated time to delivery, the risk of delivery in 2-week intervals at different gestational ages, and the time frame between hospital admission and delivery of the first child. Results Median gestational age at delivery of 494 women with a triplet pregnancy was 33+4 weeks (interquartile range of 31-35+1 weeks). Twenty-one women (4.3%) delivered between 22 and 24 weeks and 146 women (29.6%) delivered before 32 weeks. At a gestational age of 24 weeks, the chance to deliver within the next week was 0.6%.",

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author = "{Van De Mheen}, L. and Ravelli, {A. C.} and Oudijk, {M. A.} and Bijvank, {S. Nij} and Porath, {M. M.} and Duvekot, {J. J.} and Scholtenhuis, {M. A.G.Holswilder Olde} and Bloemenkamp, {K. W.M.} and Scheepers, {H. C.J.} and M. Woiski and Pampus, {M. G.Van} and Groot, {C. J.De} and E. Pajkrt and Mol, {B. W.J.}",

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AU - Ravelli, A. C.

AU - Oudijk, M. A.

AU - Bijvank, S. Nij

AU - Porath, M. M.

AU - Duvekot, J. J.

AU - Scholtenhuis, M. A.G.Holswilder Olde

AU - Bloemenkamp, K. W.M.

AU - Scheepers, H. C.J.

AU - Woiski, M.

AU - Pampus, M. G.Van

AU - Groot, C. J.De

AU - Pajkrt, E.

AU - Mol, B. W.J.

PY - 2016

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N2 - Objective Some clinicians advise prophylactic administration of antenatal steroids for fetal lung maturation in women with a triplet pregnancy. However, the effect of corticosteroids is limited to 10 to 14 days after administration. The aim of this study was to assess the natural course of triplet pregnancies to allow a better anticipation for administration of corticosteroids. Study Design We collected data on all triplet pregnancies in the Netherlands from 1999 to 2007 from the Netherlands Perinatal Registration. We calculated time to delivery, the risk of delivery in 2-week intervals at different gestational ages, and the time frame between hospital admission and delivery of the first child. Results Median gestational age at delivery of 494 women with a triplet pregnancy was 33+4 weeks (interquartile range of 31-35+1 weeks). Twenty-one women (4.3%) delivered between 22 and 24 weeks and 146 women (29.6%) delivered before 32 weeks. At a gestational age of 24 weeks, the chance to deliver within the next week was 0.6%.

AB - Objective Some clinicians advise prophylactic administration of antenatal steroids for fetal lung maturation in women with a triplet pregnancy. However, the effect of corticosteroids is limited to 10 to 14 days after administration. The aim of this study was to assess the natural course of triplet pregnancies to allow a better anticipation for administration of corticosteroids. Study Design We collected data on all triplet pregnancies in the Netherlands from 1999 to 2007 from the Netherlands Perinatal Registration. We calculated time to delivery, the risk of delivery in 2-week intervals at different gestational ages, and the time frame between hospital admission and delivery of the first child. Results Median gestational age at delivery of 494 women with a triplet pregnancy was 33+4 weeks (interquartile range of 31-35+1 weeks). Twenty-one women (4.3%) delivered between 22 and 24 weeks and 146 women (29.6%) delivered before 32 weeks. At a gestational age of 24 weeks, the chance to deliver within the next week was 0.6%.

KW - antenatal steroid treatment

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Prediction of Time to Delivery Week-by-Week in Women with a Triplet Pregnancy

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Keywords

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