Delivery and Survival of Triplet Infants at 26 Weeks of Gestational Age after Emergency Cerclage in Woman with Dilated Cervix and Bulging Fetal Membranes

Abstract

In triplet pregnancy, preterm delivery is a major cause of neonatal morbidity and mortality. If mother was suffering from cervical insufficiency, the effectiveness and safety of cervical cerclage remains controversial. The authors experienced the case of a 29-year-old patient with triplet pregnancy who had dilated cervix and bulging fetal membranes at 20+4 weeks of gestation. The patient underwent emergency cervical cerclage and carried pregnancy until 26th weeks of gestation. The babies were delivered by cesarean section in the 26th week of gestation and they were discharged home at the 40 weeks of corrected age. In triplet gestation as well as single or twin gestation, cervical cerclage in the patients with cervical dilatation and bulging fetal membrane could be successful if obstetricians and neonatologists collaborate.