Antepartum management of triplet gestations

Alan M Peaceman*, Sharon L Dooley, Ralph K Tamura, Michael L Socol

*Corresponding author for this work

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

OBJECTIVE: We evaluated an alternative approach to the management of triplet gestations that did not include home uterine monitoring, prophylactic tocolysis, or routine antepartum hospitalization. STUDY DESIGN: Fifteen patients were managed over a 42-month period by an antepartum protocol that emphasized patient education regarding signs and symptoms of preterm labor, weekly prenatal visits after 24 weeks' gestation with cervical examination, and increased rest in an outpatient setting. Tocolytic therapy was only used for regular uterine contractions when cervical change was documented. RESULTS: Nine of 15 (60%) patients with management in this uniform manner were delivered at ≥35weeks' gestation, and six patients (40%) completed 37 weeks of pregnancy. Only five patients (33%) received tocolytic therapy. The mean birth weight was 1957 ± 488 gm, and only 19 of 45 neonates (42%) were admitted to the intensive care nursery. CONCLUSION: This management scheme was effective in reducing preterm delivery and thereby optimizing perinatal outcome. (Am J Obstet Gynecol 1992;167:1117–20.)

Original languageEnglish (US)
Pages (from-to)1117-1120
Number of pages4
JournalAmerican Journal of Obstetrics and Gynecology
Volume167
Issue number4
DOIs
StatePublished - Jan 1 1992

Fingerprint

Tocolysis
Pregnancy
Uterine Monitoring
Uterine Contraction
Nurseries
Premature Obstetric Labor
Patient Education
Critical Care
Birth Weight
Signs and Symptoms
Hospitalization
Outpatients
Newborn Infant

Keywords

  • antepartum care
  • preterm labor
  • Triplet gestations

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

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title = "Antepartum management of triplet gestations",
abstract = "OBJECTIVE: We evaluated an alternative approach to the management of triplet gestations that did not include home uterine monitoring, prophylactic tocolysis, or routine antepartum hospitalization. STUDY DESIGN: Fifteen patients were managed over a 42-month period by an antepartum protocol that emphasized patient education regarding signs and symptoms of preterm labor, weekly prenatal visits after 24 weeks' gestation with cervical examination, and increased rest in an outpatient setting. Tocolytic therapy was only used for regular uterine contractions when cervical change was documented. RESULTS: Nine of 15 (60{\%}) patients with management in this uniform manner were delivered at ≥35weeks' gestation, and six patients (40{\%}) completed 37 weeks of pregnancy. Only five patients (33{\%}) received tocolytic therapy. The mean birth weight was 1957 ± 488 gm, and only 19 of 45 neonates (42{\%}) were admitted to the intensive care nursery. CONCLUSION: This management scheme was effective in reducing preterm delivery and thereby optimizing perinatal outcome. (Am J Obstet Gynecol 1992;167:1117–20.)",
keywords = "antepartum care, preterm labor, Triplet gestations",
author = "Peaceman, {Alan M} and Dooley, {Sharon L} and Tamura, {Ralph K} and Socol, {Michael L}",
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AU - Peaceman, Alan M

AU - Dooley, Sharon L

AU - Tamura, Ralph K

AU - Socol, Michael L

PY - 1992/1/1

Y1 - 1992/1/1

N2 - OBJECTIVE: We evaluated an alternative approach to the management of triplet gestations that did not include home uterine monitoring, prophylactic tocolysis, or routine antepartum hospitalization. STUDY DESIGN: Fifteen patients were managed over a 42-month period by an antepartum protocol that emphasized patient education regarding signs and symptoms of preterm labor, weekly prenatal visits after 24 weeks' gestation with cervical examination, and increased rest in an outpatient setting. Tocolytic therapy was only used for regular uterine contractions when cervical change was documented. RESULTS: Nine of 15 (60%) patients with management in this uniform manner were delivered at ≥35weeks' gestation, and six patients (40%) completed 37 weeks of pregnancy. Only five patients (33%) received tocolytic therapy. The mean birth weight was 1957 ± 488 gm, and only 19 of 45 neonates (42%) were admitted to the intensive care nursery. CONCLUSION: This management scheme was effective in reducing preterm delivery and thereby optimizing perinatal outcome. (Am J Obstet Gynecol 1992;167:1117–20.)

AB - OBJECTIVE: We evaluated an alternative approach to the management of triplet gestations that did not include home uterine monitoring, prophylactic tocolysis, or routine antepartum hospitalization. STUDY DESIGN: Fifteen patients were managed over a 42-month period by an antepartum protocol that emphasized patient education regarding signs and symptoms of preterm labor, weekly prenatal visits after 24 weeks' gestation with cervical examination, and increased rest in an outpatient setting. Tocolytic therapy was only used for regular uterine contractions when cervical change was documented. RESULTS: Nine of 15 (60%) patients with management in this uniform manner were delivered at ≥35weeks' gestation, and six patients (40%) completed 37 weeks of pregnancy. Only five patients (33%) received tocolytic therapy. The mean birth weight was 1957 ± 488 gm, and only 19 of 45 neonates (42%) were admitted to the intensive care nursery. CONCLUSION: This management scheme was effective in reducing preterm delivery and thereby optimizing perinatal outcome. (Am J Obstet Gynecol 1992;167:1117–20.)

KW - antepartum care

KW - preterm labor

KW - Triplet gestations

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