title: Spontaneous triplet pregnancy complicated by uterus didelphys: a case report.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynaecology, La Fe University Hospital, Valencia, Spain.
authors.forename: César
authors.initials: C
authors.lastname: Díaz-García
authors.forename: Jessica P
authors.initials: JP
authors.lastname: Subirá Nadal
authors.forename: Amaya
authors.initials: A
authors.lastname: Urgal Ayala
authors.forename: Eduardo
authors.initials: E
authors.lastname: Cazorla Amorós
authors.forename: Dolores
authors.initials: D
authors.lastname: Borrás Suñer
authors.forename: Alfredo
authors.initials: A
authors.lastname: Perales Marín
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D014310:Triplets; D014599:Uterus / Q000002:abnormalities*