Maternal and Perinatal Outcome of Triplet Pregnancies in a Tertiary Care Hospital in North India: A Prospective Observational Study
Bibliographic record
Abstract
Background: The purpose of this study was to identify the present trends in maternal, foetal, and perinatal outcomes and complications associated with triplet pregnancy at a tertiary referral hospital in India. Methods: A prospective observational study was conducted over 18 months. All adult pregnant patients with ultrasound-confirmed triplet pregnancy were included. Patient demographics, measurements, and variables were recorded, with monitoring and follow-up at regular intervals. The primary endpoint of the analysis was to determine the maternal complications and perinatal outcomes associated with triplet pregnancy. Results: Thirty-four triplet pregnancies were included in this study. The majority, 70.7% (n=31) of these women, had conceived by assisted reproductive technique (ART), mostly in vitro fertilisation (IVF), 52.9% (n=18). The most common maternal complications encountered were pre-term labour, in 82.4% (n=28) of patients. Concerning gestational age at the time of delivery, 47.1% (n=16) of patients were near-term (34-36 weeks). The majority of pregnancies, 85.3% (n=29), were terminated by lower segment caesarean section (LSCS), 8.8% (n=3) were delivered vaginally, and the mean duration of maternal hospital stay was 4.6 days ±3.45 (SD 2-14) days. Only 11.8% (n=4) required a prolonged hospital stay of > 7 days due to maternal complications. Ninety-four out of 102 triplets were born alive, with a mean birth weight of 1,597.3 grams ± (SD 367.74 g). The various foetal/neonatal complications were noted, with the commonest being prematurity in 85.3% (n=29). The majority of triplet neonates with complications had a mean duration of NICU stay less than 1 week, 70.8% (n=17). Conclusion: While triplet pregnancies remain rare, they are associated with a significant materno-foetal risk which must be anticipated by obstetricians. Thus, early diagnosis, adequate antenatal care, counselling, and perinatal care and support can help to ensure optimal outcomes.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".