Abstract
In the past decades, we have observed a large increase in the number of multifetal pregnancies, which is mainly associated with the introduction of assisted reproductive techniques. Even though neonatal intensive care of very premature infants has improved significantly, the risk of mortality and long-term morbidity is still much higher among these newborns. A longer interdelivery period may reduce perinatal mortality and morbidity. The authors report the case of a delayed interval delivery in trichorionic, triamniotic triplet pregnancy. After the labor of the first fetus in the 22nd week of gestation, a 75-day interval was achieved before the delayed delivery. To save the surviving fetuses, the umbilical cord was ligated at the cervical level immediately after the first delivery. The patient received antibiotics, tocolytics, and corticosteroids. A baby boy who weighed 1750 g and a girl who weighed 1700 g were successfully delivered by cesarean section in the 33rd week of pregnancy. The babies were discharged home at the age of 28 days. A follow-up examination 20 weeks later showed that their neurological development was normal and without any major problems. The maternal postpartum course was uneventful; the patient stayed in hospital taking care of the babies.
Highlights
In the past decades, a significant increase in multifetal pregnancies has been observed, which is predominantly associated with the introduction of assisted reproductive techniques
We report a case of extremely delayed interval delivery in triamniotic, trichorionic triplet pregnancy
Most of the reports demonstrated that delaying the delivery of the second twin or higher order multiples improves neonatal survival and gives higher birth weight
Summary
A significant increase in multifetal pregnancies has been observed, which is predominantly associated with the introduction of assisted reproductive techniques. A delay of 2 or more days in the premature delivery in newborns born before 30 weeks of gestation is associated with improved infant survival and higher infant birth weight [3]. We report a case of extremely delayed interval delivery in triamniotic, trichorionic triplet pregnancy.
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