{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T13:11:07Z","timestamp":1756991467718},"reference-count":11,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2011,1,7]],"date-time":"2011-01-07T00:00:00Z","timestamp":1294358400000},"content-version":"vor","delay-in-days":6764,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[1992,7]]},"abstract":"<jats:p>The management and outcome of 46 pregnancies, 37 triplets, 7 quadruplets and 2 quintuplets, were analysed. Management of pregnancies, initiated upon diagnosis of multiple pregnancy, included bed rest, \u03b2\u2010mimetic agents, dexamethasone late in the second trimester and selective cerclage. The mean gestational age at labor was 235 days in triplet pregnancies, 241 for quadruplets and 220 days for quintuplets. Fifty\u2010four percent of the deliveries were by cesarean section and the remainder per vaginam. The mean weight of the neonates was 1809 g for the triplets, 1837 g for quadruplets and 1284 g for the quintuplets. The mean overall Apgar score was 8.13, total perinatal mortality 14.8% and 9.4% in cases more than 28 weeks. There was no statistically significant difference in the outcome for triplets born vaginally or by cesarean section. In recent years there has been a pronounced reduction in neonatal mortality, dropping from 17.3% during 1970\u201378 to 5.9% from 1979 to 1983 (p&lt;0.05), probably due to the improved neonatal treatment.<\/jats:p>","DOI":"10.3109\/00016349209021071","type":"journal-article","created":{"date-parts":[[2007,11,13]],"date-time":"2007-11-13T19:09:31Z","timestamp":1194980971000},"page":"347-350","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Triplet, quadruplet and quintuplet pregnancies: Management and outcome"],"prefix":"10.1111","volume":"71","author":[{"given":"R.","family":"Ron\u2010El","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z.","family":"Mor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z.","family":"Weinraub","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Schreyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Bukovsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z.","family":"Dolphin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Goldberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Caspi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,1,7]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1978.tb15623.x"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1677\/joe.0.0080386"},{"key":"e_1_2_1_4_1","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1016\/0002-9378(66)90049-4","article-title":"Pregnancies following treatment with human gonadotropins with special reference to the problem of multiple birth","volume":"94","author":"Gemzell C.","year":"1966","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_1_5_1","first-page":"458","article-title":"Triplet and quadruplet pregnancies and management","volume":"54","author":"Ron\u2010El R.","year":"1981","journal-title":"Obstet Gynecol"},{"key":"e_1_2_1_6_1","first-page":"99","article-title":"Multiple gestation of high fetal number","volume":"44","author":"McFee JG","year":"1974","journal-title":"Obstet Gynecol"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.1879-3479.1977.tb00689.x"},{"key":"e_1_2_1_8_1","first-page":"1614","article-title":"Relative efficacy of bed rest, cervical suture and no treatment in the management of twin pregnancy","volume":"86","author":"Weekes A RL","year":"1977","journal-title":"Br J Obstet Gynaecol"},{"key":"e_1_2_1_9_1","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1016\/0002-9378(82)90471-9","article-title":"Management of multi\u2010fetal pregnancies. Sixteen years' experience at the Sloane Hospital for women","volume":"143","author":"Loucopoulus A.","year":"1982","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1979.tb10678.x"},{"key":"e_1_2_1_11_1","first-page":"472","article-title":"Outcome of pregnancy in 31 triplet gestations","volume":"59","author":"Holberg G.","year":"1982","journal-title":"Obstet Gynecol"},{"key":"e_1_2_1_12_1","unstructured":"BessisR. MilaneseC. FrydmanR..Preventive partial termination in multiple pregnancies. (Abstract). 2nd International Symposium: \u201cThe fetus as a patient \u2010Diagnosis and therapy\u201d."}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.3109%2F00016349209021071","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.3109\/00016349209021071","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T20:44:44Z","timestamp":1698093884000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.3109\/00016349209021071"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,7]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1992,7]]}},"alternative-id":["10.3109\/00016349209021071"],"URL":"https:\/\/doi.org\/10.3109\/00016349209021071","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[1992,7]]},"assertion":[{"value":"2011-01-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}