title: Delayed interval delivery in a triplet pregnancy: a case report.
abstract: The incidence of multiple pregnancies is increasing due to a surge in the availability of assisted conception techniques. Spontaneous miscarriages, preterm labour and delivery are common complications of multiple pregnancies. In rare circumstances where the leading foetus has been expelled and the rest remain in utero, it is conventional to augment uterine activity to expel the rest of the uterine contents so as to avoid sepsis. Conservative management in such circumstances might allow for foetal lung maturity in the remaining foetuses, but there is limited experience in the world literature. We present a case of conservative management of a triplet pregnancy with early loss of the leading triplet. The delivery interval was 34 days and both remaining triplets survived without any sequelae.
authors.affiliation: Department of Obstetrics and Gynaecology, Singapore General Hospital, Singapore.
authors.forename: E K
authors.initials: EK
authors.lastname: Chua
authors.forename: F H
authors.initials: FH
authors.lastname: Tsakok
mesh_terms: D000328:Adult; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D005313:Fetal Death; D005865:Gestational Age; D006801:Humans; D007752:Obstetric Labor, Premature / Q000517:prevention & control*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology*; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D013997:Time Factors; D014310:Triplets