Spontaneous fetal reduction in triplets and prolongation of twin pregnancy for 111 days as an outpatient: a case report

BACKGROUND: Multiple gestation has been on the rise because of advancement in assisted reproductive technology. Triplet pregnancy is associated with fetal loss and preterm birth as its major complications. Spontaneous triplet pregnancy is rare. In the case of fetal loss, delayed interval delivery ha...

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Autores principales: Rubagumya, Davis, Kaguta, Munawar, Mdachi, Ernie, Abeid, Muzdalfat, Kidanto, Hussein
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8215777/
https://www.ncbi.nlm.nih.gov/pubmed/34154644
http://dx.doi.org/10.1186/s13256-021-02952-w
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author Rubagumya, Davis
Kaguta, Munawar
Mdachi, Ernie
Abeid, Muzdalfat
Kidanto, Hussein
author_facet Rubagumya, Davis
Kaguta, Munawar
Mdachi, Ernie
Abeid, Muzdalfat
Kidanto, Hussein
author_sort Rubagumya, Davis
collection PubMed
description BACKGROUND: Multiple gestation has been on the rise because of advancement in assisted reproductive technology. Triplet pregnancy is associated with fetal loss and preterm birth as its major complications. Spontaneous triplet pregnancy is rare. In the case of fetal loss, delayed interval delivery has been used to achieve delivery of the retained fetuses. There is no common approach to delayed interval delivery. CASE: A 31-year-old East African lady with spontaneous triplet pregnancy presented to our institution at gestation age of 19 weeks with features of threatened miscarriage. One fetus was miscarried, and delayed interval delivery was done as an outpatient. At gestation age of 35 weeks, she delivered healthy twins by cesarean section. CONCLUSION: Delayed interval delivery improves neonatal outcomes of high-order pregnancy after fetal loss even in a resource-limited setting.
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spelling pubmed-82157772021-06-23 Spontaneous fetal reduction in triplets and prolongation of twin pregnancy for 111 days as an outpatient: a case report Rubagumya, Davis Kaguta, Munawar Mdachi, Ernie Abeid, Muzdalfat Kidanto, Hussein J Med Case Rep Case Report BACKGROUND: Multiple gestation has been on the rise because of advancement in assisted reproductive technology. Triplet pregnancy is associated with fetal loss and preterm birth as its major complications. Spontaneous triplet pregnancy is rare. In the case of fetal loss, delayed interval delivery has been used to achieve delivery of the retained fetuses. There is no common approach to delayed interval delivery. CASE: A 31-year-old East African lady with spontaneous triplet pregnancy presented to our institution at gestation age of 19 weeks with features of threatened miscarriage. One fetus was miscarried, and delayed interval delivery was done as an outpatient. At gestation age of 35 weeks, she delivered healthy twins by cesarean section. CONCLUSION: Delayed interval delivery improves neonatal outcomes of high-order pregnancy after fetal loss even in a resource-limited setting. BioMed Central 2021-06-21 /pmc/articles/PMC8215777/ /pubmed/34154644 http://dx.doi.org/10.1186/s13256-021-02952-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Rubagumya, Davis
Kaguta, Munawar
Mdachi, Ernie
Abeid, Muzdalfat
Kidanto, Hussein
Spontaneous fetal reduction in triplets and prolongation of twin pregnancy for 111 days as an outpatient: a case report
title Spontaneous fetal reduction in triplets and prolongation of twin pregnancy for 111 days as an outpatient: a case report
title_full Spontaneous fetal reduction in triplets and prolongation of twin pregnancy for 111 days as an outpatient: a case report
title_fullStr Spontaneous fetal reduction in triplets and prolongation of twin pregnancy for 111 days as an outpatient: a case report
title_full_unstemmed Spontaneous fetal reduction in triplets and prolongation of twin pregnancy for 111 days as an outpatient: a case report
title_short Spontaneous fetal reduction in triplets and prolongation of twin pregnancy for 111 days as an outpatient: a case report
title_sort spontaneous fetal reduction in triplets and prolongation of twin pregnancy for 111 days as an outpatient: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8215777/
https://www.ncbi.nlm.nih.gov/pubmed/34154644
http://dx.doi.org/10.1186/s13256-021-02952-w
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