Abstract
Introduction:The prevalence of pregnancies with triplet or more has been increased due to using assisted reproductive treatments. Meanwhile, multiple pregnancies have higher risks and long-term maternal-fetal complications compared to twin and singleton pregnancies. Delayed interval delivery (DID) is a new approach in the management of multiple pregnancies following delivery or abortion. The purpose of this paper is to evaluate the benefits of DID and presents a case that used this method.Methods:This paper covers a report on a case of triplet pregnancy resulting from assisted reproductive techniques with spontaneous delivery of a fetus at gestational age of 20 weeks and the use of conservative DID for two other fetuses until the 33rd week.Results:In our case, the delivery of two other fetuses occurred spontaneously at gestational age of 33 weeks after the delivery of the first fetus at week 20.Conclusions:Using DID is a useful and reliable method, but requires careful monitoring, especially in patients with a history of infertility.
Highlights
The prevalence of pregnancies with triplet or more has been increased due to using assisted reproductive treatments
The purpose of this paper is to evaluate the benefits of Delayed interval delivery (DID) and presents a case that used this method
The prevalence of pregnancies with triplet or more has been increased due to using assisted reproductive treatments and is directly correlated to the number of embryos transferred into the uterus after IVF
Summary
Delayed interval delivery (DID) is a new strategy in the management of multiple pregnancies following delivery or abortion This approach was first introduced by Carson in 1880. Vol 8, No 2; 2016 pregnancies in which uterine contractions cease after the abortion of the first fetus This method can be an appropriate technique to manage the remaining embryos. The invasive nature of cerclage and the increased risk of chorioamnionitis due to the closure of a potentially infected amniotic sac is certainly a great concern. Once such a procedure had been done, strict bed rest in the hospital was suggested. Due to controversies in applying this approach, further studies are needed to evaluate the effectiveness of this method in case reports and this paper is presented with the aim of presenting a report on the successful application of this method
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