{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:23:00Z","timestamp":1787498580387,"version":"build-2736575974"},"reference-count":43,"publisher":"Akademiai Kiado Zrt.","issue":"49","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,12,1]]},"abstract":"<jats:p>\n                    A h\u00e1rmasiker-sz\u00fcl\u00e9sek jelenlegi gyakoris\u00e1ga a medd\u0151s\u00e9gi kezel\u00e9sek eredm\u00e9nyek\u00e9nt a term\u00e9szetes el\u0151fordul\u00e1s 4\u20135-sz\u00f6r\u00f6se. Az anyai sz\u00f6v\u0151dm\u00e9nyek \u00e9s a kedvez\u0151tlen perinatalis kimenetel kock\u00e1zata rendk\u00edv\u00fcl magas. 1998 \u00f3ta lehet\u0151s\u00e9g van az embri\u00f3k\/magzatok sz\u00e1m\u00e1nak redukci\u00f3j\u00e1ra annak \u00e9rdek\u00e9ben, hogy a megmarad\u00f3 embri\u00f3k\/magzatok es\u00e9lyei javuljanak. A h\u00e1rmasiker-terhess\u00e9get visel\u0151 v\u00e1rand\u00f3sok megfelel\u0151 t\u00e1j\u00e9koztat\u00e1s\u00e1hoz hozz\u00e1tartozik, hogy pontos felvil\u00e1gos\u00edt\u00e1st kapjanak a terhess\u00e9g redukci\u00f3 n\u00e9lk\u00fcli tov\u00e1bbvisel\u00e9se eset\u00e9n v\u00e1rhat\u00f3 anyai \u00e9s magzati kock\u00e1zatokr\u00f3l.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    A magyar h\u00e1rmasiker-popul\u00e1ci\u00f3 reprezentat\u00edvnak tekinthet\u0151, nagy esetsz\u00e1m\u00fa mint\u00e1j\u00e1n kereszt\u00fcl bemutatni a nem reduk\u00e1lt h\u00e1rmasiker-terhess\u00e9gekkel kapcsolatos anyai sz\u00f6v\u0151dm\u00e9nyek kock\u00e1zat\u00e1t, a perinatalis mutat\u00f3kat \u00e9s a neonatalis sz\u00f6v\u0151dm\u00e9nyek el\u0151fordul\u00e1si gyakoris\u00e1g\u00e1t.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    Tanulm\u00e1nyunkban az I. sz. Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinik\u00e1n 1990. j\u00falius 1. \u00e9s 2006. j\u00fanius 30. k\u00f6z\u00f6tti id\u0151szakban befejez\u0151d\u00f6tt h\u00e1rmasiker-terhess\u00e9geket vizsg\u00e1ltuk. Bev\u00e1laszt\u00e1si krit\u00e9rium volt, hogy a 18. terhess\u00e9gi h\u00e9ten elv\u00e9gzett ultrahangvizsg\u00e1lat sor\u00e1n mindh\u00e1rom magzat \u00e9letjelens\u00e9get mutatott.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    122 h\u00e1rmasiker-terhess\u00e9g k\u00f6z\u00fcl 8 esetben (6,6%) k\u00f6z\u00e9pid\u0151s vet\u00e9l\u00e9s zajlott le a 20\u201323. h\u00e9ten, 114 eset (93,4%) sz\u00fcl\u00e9ssel v\u00e9gz\u0151d\u00f6tt. Anyai hal\u00e1leset nem volt. Terhess\u00e9g \u00e1ltal kiv\u00e1ltott hipert\u00f3nia az esetek 16,7%-\u00e1ban, terhess\u00e9gi cukorbetegs\u00e9g 18,4%-ban fordult el\u0151. A sz\u00fcl\u00e9s el\u0151tt thrombocytopenia 20,2%-ban, an\u00e9mia 16,7%-ban, cholestasis 9,7%-ban jelentkezett. A tocolysist ig\u00e9nyl\u0151, id\u0151 el\u0151tti m\u00e9htev\u00e9kenys\u00e9g gyakoris\u00e1ga 57,9% volt, id\u0151 el\u0151tti burokreped\u00e9st 32,5%-ban \u00e9szlelt\u00fcnk. Cerclage-m\u0171t\u00e9t az esetek 15,8%-\u00e1ban t\u00f6rt\u00e9nt, szteroidprofilaxisban a h\u00e1rmasiker-terhesek 69,3%-a r\u00e9szes\u00fclt. A terhess\u00e9gek hossza \u00e1tlagosan 32,3 \u00b1 3,2 h\u00e9t volt. Az igen \u00e9retlen (&lt;28. h\u00e9t) korasz\u00fcl\u00e9sek ar\u00e1nya 8,8%, az \u00e9retlen (&lt;32. h\u00e9t) korasz\u00fcl\u00e9sek ar\u00e1nya 42,1% volt. Az \u00e9lve sz\u00fcletettek \u00e1tlagos 5 perces Apgar-\u00e9rt\u00e9ke 9,2 \u00b1 0,8, \u00e1tlagos sz\u00fclet\u00e9si s\u00falya 1664 \u00b1 506 g volt. A magzatok 38,0%-a igen kis (&lt;1500 g) sz\u00fclet\u00e9si s\u00fallyal j\u00f6tt vil\u00e1gra. A k\u00e9s\u0151i magzati hal\u00e1loz\u00e1s 23,4\u2030, a perinatalis hal\u00e1loz\u00e1s 64,3\u2030, a tiszt\u00edtott perinatalis hal\u00e1loz\u00e1s 27,4\u2030 volt, melyek kedvez\u0151tlenebbek, mint szingul\u00e1ris terhess\u00e9gben. S\u00falyos fejl\u0151d\u00e9si rendelleness\u00e9g a magzatok 11,7\u2030-\u00e9n\u00e9l volt \u00e9szlelhet\u0151. Megsz\u00fclet\u00e9s ut\u00e1n az \u00fajsz\u00fcl\u00f6ttek 54,4%-a szorult l\u00e9legeztet\u00e9sre. Intracranialis v\u00e9rz\u00e9s az \u00fajsz\u00fcl\u00f6ttek 4,3%-\u00e1n\u00e1l, respirati\u00f3s distress szindr\u00f3ma 17,1%-ban, transitoricus tachypnoe 5,2%-ban, szepszis vagy pneum\u00f3nia 25,5%-ban, \u00fajsz\u00fcl\u00f6ttkori s\u00e1rgas\u00e1g 11,4%-ban fordult el\u0151.\n                    <jats:italic>K\u00f6vetkeztet\u00e9sek:<\/jats:italic>\n                    Az anyai \u00e9s a magzati kock\u00e1zatok ismerete igen fontos ahhoz, hogy a h\u00e1rmasiker-terhess\u00e9ggel \u00e9ppen szembes\u00fcl\u0151 betegek megalapozott d\u00f6nt\u00e9st hozhassanak a terhess\u00e9g kihord\u00e1s\u00e1r\u00f3l vagy a redukci\u00f3 lehet\u0151s\u00e9g\u00e9nek ig\u00e9nybev\u00e9tel\u00e9r\u0151l.\n                  <\/jats:p>","DOI":"10.1556\/oh.2007.28119","type":"journal-article","created":{"date-parts":[[2007,12,3]],"date-time":"2007-12-03T11:12:17Z","timestamp":1196680337000},"page":"2315-2328","source":"Crossref","is-referenced-by-count":6,"title":["The maternal and fetal outcome of 122 triplet pregnancies"],"prefix":"10.1556","volume":"148","author":[{"given":"Ervin","family":"Hruby","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar I. 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