Evaluation of Maternal and Neonatal Outcomes in Triplet Pregnancies: A Single-Center Experience
Gizem Berfin Uluutku Bulutlar1, Eralp Bulutlar2, Önder Tosun2, Pınar Kumru21Department of Obstetrics and Gynecology, University of Health Sciences Türkiye, Haydarpaşa Numune Training and Research Hospital, Istanbul, Türkiye2Department of Obstetrics and Gynecology, Zeynep Kamil Obstetrics and Gynecology Training and Research Hospital, Istanbul, Türkiye
INTRODUCTION: Triplet pregnancies are high-risk gestations associated with increased maternal and neonatal complications. This study evaluates maternal and neonatal outcomes in triplet pregnancies to improve perinatal care strategies.
METHODS: This retrospective cohort study analyzed triplet pregnancies delivered at Zeynep Kamil Women and Children's Diseases Training and Research Hospital between August 2013 and February 2025. Data were collected from electronic medical records. Inclusion criteria were triplet pregnancies ≥20 weeks or birth weight >500 g. Maternal complications, chorionicity, and neonatal outcomes were assessed using IBM SPSS Statistics 23.0.
RESULTS: A total of 63 triplet pregnancies were included. The mean maternal age was 28.06±0.68 years. 61.9% of pregnancies were spontaneous, while 28.6% resulted from IVF. Trichorionic pregnancies accounted for 63.5% of cases. PIH (17.5%), GDM (12.7%), and ICP (6.4%) were the most common complications. The mean gestational age was 30.8 weeks, with 63.5% delivering before 34 weeks. NICU admission was required in 74.1% of neonates, and 18% experienced neonatal mortality.
DISCUSSION AND CONCLUSION: Triplet pregnancies carry significant risks due to preterm birth and low birth weight, increasing NICU admissions and perinatal mortality. Optimizing embryo transfer policies and perinatal care strategies is crucial. A multidisciplinary approach is essential to improve outcomes.
Manuscript Language: English