title: Twenty-six triplet pregnancies: a retrospective analysis.
abstract: METHODS
  Twenty-six triplet pregnancies were delivered over 6 years.
  
  
  RESULTS
  Over 80% of pregnancies resulted after infertility treatment (21/26). Mean maternal age was 32. On average, the infants were delivered after 32 + 0 weeks; in 4 cases delivery was at <28 weeks. In 1 case, the leading triplet was delivered spontaneously, the remaining babies by Caesarean. Main indications for Caesarean were: premature membrane rupture, premature contractions, maternal hospitalisation for foetal lung maturation/tocolysis/antibiotics. Mean birth weights were (triplet I-III): 1,730, 1,630 and 1,550 g. Hydrops fetalis and renal agenesis resulted in IUFD of the leading triplet in two cases. All newborns were cared for by neonatology.
  
  
  CONCLUSIONS
  Triplet pregnancies are challenging for all specialities involved. They should be managed from an early stage in cooperation with an experienced centre, allowing outpatient care for as long as possible if there are no complications. This also has a cost-reducing impact.
authors.affiliation: Department of Obstetrics and Gynaecology, Women's University Hospital of the University of Tuebingen, Calwerstr. 7, 72076 Tübingen, Germany. Bernhard.Kraemer@med.uni-tuebingen.de
authors.forename: Bernhard
authors.initials: B
authors.lastname: Kraemer
authors.forename: Sven
authors.initials: S
authors.lastname: Becker
authors.forename: Karl Oliver
authors.initials: KO
authors.lastname: Kagan
authors.forename: Markus
authors.initials: M
authors.lastname: Hahn
authors.forename: Taufiek K
authors.initials: TK
authors.lastname: Rajab
authors.forename: Diethelm
authors.initials: D
authors.lastname: Wallwiener
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Kraemer
authors.forename: Harald
authors.initials: H
authors.lastname: Abele
mesh_terms: D000328:Adult; D002585:Cesarean Section; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy; D012189:Retrospective Studies; D014310:Triplets