Spontaneous triplet pregnancy complicated by uterus didelphys: a case report.
Uterine malformations and spontaneous triplet pregnancy are rare situations separately, and both are related to worse perinatal outcomes. In the 3 cases of combined triplet pregnancy and uterus didelphys previously published, at least 2 of the 3 fetuses died. Morbidity rates are also high. We report the case of a 24-year-old Caucasian woman with a uterus didelphys and two previous caesarean sections who carried a spontaneous triplet pregnancy. To our knowledge, this is the first case of a spontaneous triplet pregnancy in a uterus didelphys ever reported and the only one with uneventful perinatal outcome for all fetuses. Expectant management may be an alternative to embryo reduction to manage triplet pregnancies in a didelphys uterus, especially when this option is not considered. Nevertheless, there is not enough evidence to confirm which is the optimal management strategy, and more studies are needed.
Díaz-García
César
C
Department of Obstetrics and Gynaecology, La Fe University Hospital, Valencia, Spain.
Subirá Nadal
Jessica P
JP
Urgal Ayala
Amaya
A
Cazorla Amorós
Eduardo
E
Borrás Suñer
Dolores
D
Perales Marín
Alfredo
A
D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D014310:Triplets; D014599:Uterus / Q000002:abnormalities*