{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:33:19Z","timestamp":1787506399261,"version":"build-2736575974"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,5,19]],"date-time":"2016-05-19T00:00:00Z","timestamp":1463616000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neonatal-Perinatal Medicine"],"published-print":{"date-parts":[[2016,6,22]]},"abstract":"<jats:p>OBJECTIVE: The objective of the present study was to evaluate adverse perinatal outcome in a group of high order pregnancies pared with singletons by BW and GA at birth.<\/jats:p>\n                  <jats:p>METHODS: Data was reviewed for all admissions of triplets and quadruplets in a 7 year period. For each study neonate we selected two singleton infants to constitute a control group. Variables analyzed included: respiratory distress syndrome, patent ductus arteriosus, intraventricular hemorrhage, necrotizing enterocolitis (NEC), bronchopulmonary dysplasia, retinopathy of prematurity and periventricular leukomalacia.<\/jats:p>\n                  <jats:p>RESULTS: We studied a total of 128 multiple and 260 singleton infants. Mean gestational age and birth weight were similar in both groups (31.3 \u00b1 2,5 wks e 31.5 \u00b1 2,8 wks; 1470 \u00b1 461\u200ag vs 1495 \u00b1 540\u200ag). There was no significant difference between the groups in the majority of main morbidities. The incidence of NEC was higher in triplets (6.3 vs 0.8%, p value &lt;0.01). Mortality was higher in singletons (9.6 vs 3.1%, p value &lt;0.037).<\/jats:p>\n                  <jats:p>CONCLUSIONS: Results show that major neonatal outcomes are very similar between multiples and singletons births when paired by gestational age and birth weight. NEC remained a significant morbidity in infants born from multiple gestations after adjustment for maternal and neonatal risk factors.<\/jats:p>","DOI":"10.3233\/npm-16915091","type":"journal-article","created":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T03:10:55Z","timestamp":1466651455000},"page":"195-200","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Perinatal outcome comparing triplets and singleton births at a reference maternity hospital"],"prefix":"10.1177","volume":"9","author":[{"given":"M. Andrade","family":"Rodrigues","sequence":"first","affiliation":[{"name":"Department of Neonatology, Perinatal Maternity Hospital, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Nassar de Carvalho","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Instituto Fernandes Figueira\/FIOCRUZ, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Gomes J\u00fanior","sequence":"additional","affiliation":[{"name":"Department of Clinical Research, Instituto Fernandes Figueira\/FIOCRUZ, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. Freitas","family":"Martins","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Instituto Fernandes Figueira\/FIOCRUZ, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Maria de A. Lopes","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Perinatal Maternity Hospital, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,5,19]]},"reference":[{"key":"ref001","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-11-54"},{"key":"ref002","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2003.043851"},{"key":"ref003","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2012.01.012"},{"key":"ref004","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7200492"},{"key":"ref005","first-page":"1","volume":"21","author":"Martin JA","year":"1997","journal-title":"Vital Health Stat 21"},{"key":"ref006","doi-asserted-by":"publisher","DOI":"10.1515\/jpm.2010.141"},{"key":"ref007","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1962.04210050022004"},{"key":"ref008","unstructured":"Vermont Oxford Network Database. Release 18.0, 2013. 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