title: Twin fetuses papyraeci in a spontaneous triplet pregnancy presenting with unexplained preterm contractions.
abstract: Fetus papyracie in a triplet pregnancy is indeed rare and can pose serious management challenges. These challenges are more pronounced where facilities for monitoring are either inadequate or nonexistent. A 39-year-old, grand multipara multipara was referred to the University of Maiduguri Teaching Hospital at 27 weeks gestation with preterm contractions. Materno fetal monitoring did not reveal the cause of the preterm contractions. She was delivered via caesarean section, at 36 weeks of gestation, on account of decreased fetal movement and the products were a live female fetus weighing 2.3 kg and two male papyraceous fetuses weighing 150 g and 130 g, respectively.
authors.affiliation: Department of Obstetrics and Gynecology, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria.
authors.forename: M
authors.initials: M
authors.lastname: Bukar
authors.affiliation: Department of Obstetrics and Gynecology, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria.
authors.forename: Cm
authors.initials: C
authors.lastname: Chama
authors.affiliation: Department of Obstetrics and Gynecology, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria.
authors.forename: Bg
authors.initials: B
authors.lastname: Bako
authors.affiliation: Department of Obstetrics and Gynecology, University of Maiduguri Teaching Hospital, Maiduguri, Borno State, Nigeria.
authors.forename: Bi
authors.initials: B
authors.lastname: Jonathan
keywords: Caesarean section; Fetus papyraceous; Preterm contractions; Triplet pregnancy