{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T21:34:48Z","timestamp":1770672888520,"version":"3.49.0"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"3-4","license":[{"start":{"date-parts":[[2014,8,1]],"date-time":"2014-08-01T00:00:00Z","timestamp":1406851200000},"content-version":"unspecified","delay-in-days":9070,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta genet. med. gemellol.: twin res."],"published-print":{"date-parts":[[1989,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>During the 10-year period, 1975-1984, 105 triplet pregnancies were delivered at Harare Maternity Hospital, Zimbabwe, among 286,338 pregnancies in the Greater Harare Unit, giving an incidence of triplets of 1:2,727. The mean gestational age at delivery was 32.5 wk with 81 women (77.1%) delivering before 37 wk. Primigravidas delivered at a significantly earlier mean gestational age (P &lt; 0.05) and had a higher perinatal mortality (P &lt; 0.001) compared with grand multigravidas. Of the 315 babies, 277 (87.9%) weighed &lt; 2500 g. The overall perinatal mortality rate was 327\u2030, with a pernital mortality rate of 146\u2030 for infants weighing \u2265 1000 g. Women hospitalised for bed rest during the antenatal period had fewer perinatal deaths compared with those diagnosed during the antenatal period, but not hospitalised for bed rest (P &lt; 0.02). No difference was found in the mean gestational age at delivery or the mean birth weights between these two groups. Among infants \u2265 28 wk gestation there were fewer perinatal deaths in triplets delivered by cesarean section compared with triplets delivered vaginally (P &lt; 0.0004). This suggests that cesarean section may offer the optimal mode of delivery in triplet pregnancy.<\/jats:p>","DOI":"10.1017\/s0001566000002671","type":"journal-article","created":{"date-parts":[[2016,7,27]],"date-time":"2016-07-27T10:00:29Z","timestamp":1469613629000},"page":"271-278","source":"Crossref","is-referenced-by-count":12,"title":["Triplet Pregnancy: A 10-Year Review of 105 Cases at Harare Maternity Hospital, Zimbabwe"],"prefix":"10.1017","volume":"38","author":[{"given":"C.A.","family":"Crowther","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.A.","family":"Hamilton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2014,8,1]]},"reference":[{"key":"S0001566000002671_ref006","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1973.tb02272.x"},{"key":"S0001566000002671_ref002","first-page":"298","article-title":"Standard National perinatal data: A suggested minimum data set","volume":"3","author":"Brown","year":"1981","journal-title":"Community Medicine"},{"key":"S0001566000002671_ref016","first-page":"793","volume-title":"Lancet","author":"Saunders","year":"1985"},{"key":"S0001566000002671_ref008","first-page":"31","article-title":"Is routine hospitalization needed in antenatal care of twin pregnancy?","volume":"12","author":"Hartikainen-Sorri","year":"1984","journal-title":"J Perinat Med"},{"key":"S0001566000002671_ref010","first-page":"504","article-title":"Factors influencing the survival of triplets","volume":"12","author":"Kurtz","year":"1958","journal-title":"Obstet Gynecol"},{"key":"S0001566000002671_ref012","doi-asserted-by":"publisher","DOI":"10.1677\/joe.0.0080386"},{"key":"S0001566000002671_ref009","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1979.tb10678.x"},{"key":"S0001566000002671_ref011","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(82)90471-9"},{"key":"S0001566000002671_ref014","first-page":"843","article-title":"Triplet pregnancy. A 10 year review of cases at Baragwanath Hospital","volume":"55","author":"Pheiffer","year":"1979","journal-title":"S Afr Med J"},{"key":"S0001566000002671_ref007","first-page":"92","article-title":"A review of 367 triplet pregnancies","volume":"66","author":"Deale","year":"1984","journal-title":"S Afr Med J"},{"key":"S0001566000002671_ref003","first-page":"73","article-title":"Perinatal mortality in twin pregnancy: A review of perinatal deaths from 799 twin pregnancies","volume":"71","author":"Crowther","year":"1987","journal-title":"S Afr Med J"},{"key":"S0001566000002671_ref015","first-page":"458","article-title":"Triplet and quadruplet pregnancies and management","volume":"57","author":"Ron-El","year":"1981","journal-title":"Obstet Gynecol"},{"key":"S0001566000002671_ref005","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1978.tb15623.x"},{"key":"S0001566000002671_ref004","first-page":"624","volume-title":"Effective care in pregnancy and childbirth","author":"Crowther","year":"1989"},{"key":"S0001566000002671_ref001","first-page":"134","article-title":"Some aspects of triplet pregnancies in England and Wales 1971-1975","volume":"34","author":"Brown","year":"1980","journal-title":"Br J Clinical Practice"},{"key":"S0001566000002671_ref013","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-1809.1971.tb00253.x"}],"container-title":["Acta geneticae medicae et gemellologiae: twin research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0001566000002671","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,19]],"date-time":"2019-05-19T19:30:14Z","timestamp":1558294214000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0001566000002671\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,10]]},"references-count":16,"journal-issue":{"issue":"3-4","published-print":{"date-parts":[[1989,10]]}},"alternative-id":["S0001566000002671"],"URL":"https:\/\/doi.org\/10.1017\/s0001566000002671","relation":{},"ISSN":["0001-5660","2059-6324"],"issn-type":[{"value":"0001-5660","type":"print"},{"value":"2059-6324","type":"electronic"}],"subject":[],"published":{"date-parts":[[1989,10]]}}}