triplet miscarriage

Nicolaides, Risks of miscarriage and early preterm birth in trichorionic triplet pregnancies with embryo reduction versus expectant management: new data and systematic review, Human Reproduction, Volume 21, Issue 7, Jul 2006, Pages 1912–1917, Risks of miscarriage and early preterm birth in trichorionic triplet pregnancies with embryo reduction versus expectant management: new data and systematic review. Safety issues in assisted reproduction technology, Triplets: outcomes of expectant management versus multifetal reduction for 127 pregnancies, A prospective comparison of the outcome of triplet pregnancies managed expectantly or by multifetal reduction to twins, Multifetal reduction of triplets to twins improves perinatal outcome, Multifetal pregnancy reduction: modification of the technique and analysis of the outcome, Perinatal outcome after multifetal reduction to twins compared with nonreduced multiple gestations, Trichorionic triplet pregnancies at 10–14 weeks: outcome after embryo reduction compared to expectant management, Twins, triplets, and cerebral palsy in births in Western Australia in the 1980s, Multifetal reduction of triplets and pregnancy outcome, Fetal reduction: a neonatologist’s point of view, Effects of embryo reduction from trichorionic triplets to twins, The hidden mortality of monochorionic twin pregnancies, Prenatal determination of chorionicity in triplet pregnancy by ultrasonographic examination of the ipsilon zone, Dramatic reduction in triplet and higher order births in England and Wales, Selective reduction of multifetal pregnancies to twins improves outcome over nonreduced triplet gestations, Multifetal pregnancy reductions of triplets to twins: comparison with nonreduced triplets and twins, © The Author 2006.

Search for other works by this author on: Third Department of Obstetrics and Gynecology, Hippokration (Ippokrateio) General Hospital of Thessaloniki. triplet miscarriage My third miscarriage and cytotec. The results of the study have shown that with conservative management the miscarriage rate of DCTA triplets is 8.9%, and a third of all DCTA triplet pregnancies result in severe preterm delivery. In the absence of randomized trials, clinical decisions and patient counselling on the best management of triplet pregnancies need to rely on the data from observational studies. dichorionic triamniotic pregnancy; embryo reduction; miscarriage; preterm birth; trichorionoc triamniotic pregnancy. After construction of 2 × 2 tables for the outcomes of interest, relative risks (RRs), 95% confidence intervals (CIs) and number needed to treat (NNT) or harm (NNH) were calculated. A nationwide cross-sectional study for establishing optimal hospital access time for Korean pregnant women. Morlando M, Ferrara L, D'Antonio F, Lawin-O'Brien A, Sankaran S, Pasupathy D, Khalil A, Papageorghiou A, Kyle P, Lees C, Thilaganathan B, Bhide A. BJOG. Note the higher incidence of miscarriage but later gestation at delivery in the ER group. In only two of the papers it is stated that all pregnancies were trichorionic (Antsaklis et al., 2004; current study).

The mix of emotions can be overwhelming, and there is no "right" way to feel. For permissions, please e-mail:, Low-level sex chromosome mosaicism in female partners of couples undergoing ICSI therapy does not significantly affect treatment outcome, Early pregnancy termination with vaginal misoprostol before and after 42 days gestation, Qualitative research methods: when to use them and how to judge them, Bleeding patterns after vaginal misoprostol for treatment of early pregnancy failure, Vaginal misoprostol alone for medical abortion up to 9 weeks of gestation: efficacy and acceptability, About the European Society of Human Reproduction and Embryology,, Receive exclusive offers and updates from Oxford Academic, Expectant management versus surgical evacuation in first trimester miscarriage: health-related quality of life in randomized and non-randomized patients, The late vanishing of a co-twin contributes to adverse perinatal outcomes in the surviving singleton. Finally, a review of the reference sections of selected articles was performed to identify other relevant studies.

If data for more than one ER techniques were presented in a study, inclusion and exclusion criteria were applied to each technique. Triplet pregnancies, compared to singletons and twins, are associated with a higher risk of miscarriage (<24 weeks of gestation) and preterm birth (<34 weeks) (Pons et al., 1998; Strauss et al., 2002; Blickstein, 2004; Blickstein and Keith, 2005; Goldenberg et al., 2008; van de Mheen et al., 2014). The principal finding of our study is that ER to twins in TCTA pregnancies reduces the risk of preterm birth (<34 weeks) without significantly increasing the risk of miscarriage (<24 weeks). The hierarchy of evidence was estimated as Level III regarding all eight studies.

The overall incidence of pregnancies with no survivors was 8.9% in the ER group, 6.5% in the expectantly managed group. In the ER group (n = 482) compared to the expectantly managed group (n = 411), the rate of miscarriage was higher [8.1 versus 4.4%; relative risk (RR) = 1.83, 95% confidence interval (CI) = 1.08–3.16, P = 0.036] and the rate of early preterm delivery was lower (10.4 versus 26.7%, RR = 0.37, 95% CI = 0.27–0.51, P < 0.0001).


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