Dizygotic Dichorionic Triamniotic Triplet Pregnancy Delivered at Full Term: An Out of Box Presentation of Triplet—A Case Report from Ethiopia

The incidence of triplet is raising several hundred percent due to wide availability of fertility therapies. It is associated with different perinatal and maternal complications. The average duration of gestation and birth weight for triplet are 32.5 weeks and 1735 grams (total weight of triplet set being about 5.2kg), respectively. However, it is not uncommon to find the rarest situations in obstetrics. Here we present a case of triplet set born from gravida 5 para 4 mother at full term (GA of 39 weeks and 3 days), dated from reliable last normal menstrual period (LNMP). Each triplet has weight comparable to average weight of singleton at term. Triplets A, B, and C weigh 2.8 kg, 3 kg, and 3.2 kg, respectively. The triplet set weigh 9 kg in aggregate. Surprisingly the neonates have no perinatal complication, but the mother developed postpartum hemorrhage secondary to uterine atony. All individual triplets are large for gestational age on adjusted fetal weight standard of triplet from singleton's growth curve. Such type of triplet outcome is unique in its presentation and has never been reported in scientific literature as to the knowledge of the authors. Thus, we can consider it as “an out of box presentation of triplet”. This initiates us to report the case.