MATERNAL AND NEONATAL OUTCOMES IN TRIPLET GESTATIONS IN TERTIARY CENTER, SAUDI ARABIA

Abstract

Background: There are many studies that showed that multiple pregnancy is associated with increased risk for both mother and neonate, however, little is known about the situation in Saudi Arabia. Main objectives: Assessment of the maternal risk factors of triplet pregnancy, assessment of maternal outcomes and assessment of fatal and neonatal outcomes. Secondary Objectives: 1-Dose ceserian section reduce fetal/neonatal morbidity and mortality. 2-Any difference in outcome of triplete of ART or spontenious pregnancy

Methodology: This is retrospective cohort study that was conducted at NGHA, KAMC Riyadh covering triplet pregnancy who received antenatal care in the period between 2016-2021. The data sheet included bibliographic data in form of age, body mass index. Another section is about general obstetric information, regarding gravidity, parity, number of abortions, family history of twins, ART, mode of delivery and gestational age at delivery. All data was stored at the principal investigator office and access of the data was limited to the member of the research; data analysis was done by using SPSS software version 26.

Results: In this study, we retrospectively collected data from 42 women with triplet pregnancies. The mean age of the women was 30.57 years old (SD=5.18). Preterm birth was the most common complication of multiple gestation with all 42 triplet pregnancies (100%) terminating in PTB. Considering fetal outcomes, miscarriage was found to occur in two cases (4.8 %) and fetal restriction was reported in three mothers (7.1 %). Moreover, the neonatal respiratory distress (RDS) was reported in 78.6 % of pregnancies occurred in 33 pregnancies and 73 infants (Prevalence was 57.9 % of total births). Furthermore, early neonatal death (ENND) was reported in infants of 23.8 % of pregnancies occurred in 15 infants (11.9 %).

Conclusion: Triplet pregnancies are associated with higher risk of maternal, neonatal and infant morbidities and mortality. More interest should be performed for pregnant women with triplet pregnancies.