Triplet Pregnancies and their Consequences

EPIDEMIOLOGY AND BIOLOGY
The Frequency of Triplet Gestation, L.G. Keith, J.E. Fajardo, and J.J. Oleszczuk
Spontaneous and Induced Triplets, I. Blickstein
Triplet Zygosity and Chorionicity, G.A. Machin
Ultrasound Evaluation of Unusual Triplet Gestations, I.E. Timor-Tritsch, A. Monteagudo, and A. Rebarber
Triplet Pregnancies from French IVF Centers: 1986-98, E. Papiernik and J. de Mouzon for FIVNAT

PRENATAL DIAGNOSIS
Early Ultrasound and Triplet Pregnancy, S.T. Chasen and D.W. Skupski
Screening for Chromosomal Abnormalities in Triplet and High-Order Multiple Pregnancy, R. Maymon and A. Herman
Amniocentesis and Chorionic Villus Sampling in Triplet Pregnancies, R.A. Green, R.J. Wapner, and M.I. Evans
Second-Trimester Sonographic Pitfalls and Caveats in Triplet Gestations, A. Kurjak
Fetal Surveillance and Timing of Delivery in Triplet Gestations, R.B. Newman

ANTEPARTUM CONSIDERATIONS
A. PRETERM LABOR
Routine Antepartum Care for Triplets, I. Blickstein
Prediction of Preterm Triplet Birth by Clinical Assessment, B. Arabin, A. Merien, and J. van Eyck
Tocolysis in Triplet Gestation, S. Rodts-Palenik and J.C. Morrison
Aggressive Proactive Management of Triplet Preterm Labor, J.P. Elliott
Subcutaneous Terbutaline Therapy in Triplet Gestations, F. Lam and P. Gill
Aggressive versus Conservative Management in Triplet Pregnancies, Y. Oyelese, S. Poggi, and J.V. Collea

B. MATERNAL COMPLICATIONS
Maternal Complications Associated with Triplet Pregnancies, V.R. Klein
Hypertensive Disorders During Triplet Gestations, M. Smith-Levitin

C. FETAL COMPLICATIONS
Complications of Monochorionicity in Triplet Gestations, G. Machin
Fetal Growth in Triplet Pregnancies, I. Blickstein

DELIVERY/BIRTH CONSIDERATIONS
Delivery Route in Triplets, R.B. Kalish and D.W. Skupski
Breastfeeding Triplets: Personal Reflections, J.L. Bleyl

MATRIA DATABASE
The MatriaTriplet Database: 1988-2000, I. Blickstein and D.L. Jacques

SHORT-TERM OUTCOMES
Neonatal and Long-Term Outcome in Triplets, E.S. Shinwell and S.E.-T. Friedman
Morbidity and Mortality of the Extremely Preterm Infant, R.-A. deRegnier

LONG-TERM OUTCOMES
Cerebral Palsy in Triplets, B. Petterson, L. Watson, and J.J. Kurinczuk
School Performance for Triplets, B. Alin Akerman
Perinatal Management of the Triplet Family, K.S. Collopy
Bereavement in Higher-Order Multiple Pregnancy, E. Bryan and J. Denton
Familial and Psychological Reaction, J.L. Bleyl
Diverse Factors Leading to Iatrogenic Multiple Pregnancies, S.C. Klock

PREVENTIVE MEASURES
Maternal nutrition: An Evidence-Based Approach for Triplet Gestations, J.J. Oleszczuk, A.K. Oleszczuk, K. Shelke, and L.G. Keith
Avoiding Triplet Pregnancy in Assisted Reproduction, J.D. Fisch, P. Uzelac, and G. Sher
Selective Reduction in Triplet Pregnancies, M.I. Evans, D.W. Britt, I.E. Zador, and R.J. Wapner

MISCELLANEOUS
Ethical Issues in Caring for Triplet Pregnancies, F.A. Chervenak and L.B. McCullough
Cost-Effectiveness Analysisof One-, Two- and Three-Embryo Transfers in IVF, C. Jones and R. Ward
Economic Implications of Multiple Births, J. Henderson and S. Petrou
A Mother of Quads Speaks, D. Launslager
Selective Clinical Experience
a. Outcome of Twin and Triplet Gestations in a Spanish Center, R. Porta, M.C. Céspedes, V. Molina, J. Ruiz, A. Aurell, J.M. Mallafré, and J. Ríos
b. Paying the Costs in the NICU, W. MacKendrick
c. Bioethical Issues

FUTURE DIRECTIONS
Practical Guidelines for the Future, L.G. Keith, I. Blickstein, and J.J. Oleszczuk