Spontaneous fetal reduction in triplets and prolongation of twin pregnancy for 111 days as an outpatient: a case report

Abstract Background Multiple gestation has been on the rise because of advancement in assisted reproductive technology. Triplet pregnancy is associated with fetal loss and preterm birth as its major complications. Spontaneous triplet pregnancy is rare. In the case of fetal loss, delayed interval delivery has been used to achieve delivery of the retained fetuses. There is no common approach to delayed interval delivery. Case A 31-year-old East African lady with spontaneous triplet pregnancy presented to our institution at gestation age of 19 weeks with features of threatened miscarriage. One fetus was miscarried, and delayed interval delivery was done as an outpatient. At gestation age of 35 weeks, she delivered healthy twins by cesarean section. Conclusion Delayed interval delivery improves neonatal outcomes of high-order pregnancy after fetal loss even in a resource-limited setting.

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Two fetal papyraceous in triplet pregnancy in a resource limited setting: A case report

International Journal of Clinical Obstetrics and Gynaecology ◽

10.33545/gynae.2021.v5.i2d.884 ◽

2021 ◽

Vol 5 (2) ◽

pp. 191-192

Author(s):

Dr. Tunde-Olatunji Olubunmi Abidemi ◽

Dr. Akunaeziri Augustine Uche ◽

Dr. Samuels Eleojo Oyibo Nathaniel ◽

Dr. Afolabi Adeola Folashade ◽

Dr. Alao Abayomi Ibukun ◽

...

Keyword(s):

Case Report ◽

Resource Limited Setting ◽

Triplet Pregnancy ◽

Resource Limited ◽

Limited Setting

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Abstract #288 Dyslipidemia in Childhood Type 1 Diabetes in India: Prevalence Correlates and Management Challenges in a Resource Limited Setting

Endocrine Practice ◽

10.1016/s1530-891x(20)46632-7 ◽

2019 ◽

Vol 25 ◽

pp. 117

Author(s):

S Chandraprabha ◽

T Jayalakshmi ◽

Reshma Vijay ◽

Kavitha Muniraj ◽

Muralidhara Krishna ◽

...

Keyword(s):

Type 1 Diabetes ◽

Resource Limited Setting ◽

Resource Limited ◽

Childhood Type 1 Diabetes ◽

Childhood Type ◽

Limited Setting

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Obstacles facing gastrointestinal endoscopy in a resource-limited setting

Zeitschrift für Gastroenterologie ◽

10.1055/s-0038-1669064 ◽

2018 ◽

Vol 56 (08) ◽

pp. e354-e354

Author(s):

A Ebigbo ◽

M Schlander ◽

G Anigbo ◽

U Ijoma ◽

H Messmann

Keyword(s):

Gastrointestinal Endoscopy ◽

Resource Limited Setting ◽

Resource Limited ◽

Limited Setting

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Delayed interval delivery of the second and third fetuses in multiple pregnancy triplet (Сase report)

HEALTH OF WOMAN ◽

10.15574/hw.2016.111.148 ◽

2016 ◽

pp. 148-152

Author(s):

Y. Dubossarskaya ◽

◽

L. Padalko ◽

L. Zakharchenko ◽

E. Savel’eva ◽

...

Keyword(s):

Preterm Delivery ◽

Multiple Pregnancy ◽

Bed Rest ◽

Perinatal Morbidity ◽

Perinatal Complications ◽

Triplet Pregnancy ◽

Satisfactory Condition ◽

Nulliparous Women ◽

Perinatal Center ◽

Delayed Interval Delivery

This article describes a clinical case of vaginal delivery in nulliparous women 24 years old delayed interval delivery of the second and third fetuses in spontaneous multiple pregnancy dichorionic triamniotic triplet in a tertiary perinatal center. After preterm delivery in 27+5 weeks of gestation the first fetus to reduce perinatal morbidity and mortality of two fetuses that are left in the uterus, with informed consent of the woman preterm delivery the second and third fetuses occurred at intervals of 38 days, in 33+1 weeks of gestation. Careful monitoring of the state of the mother and fetuses was conducted. To increase the interval between the birth of the first fetus and the second and the third fetuses, prevention of obstetric and perinatal complications used tocolysis, antibiotics, progesterone, the prevention of respiratory distress syndrome of the newborn by corticosteroids and bed rest. Three girls were born alive with a weight of 980, 1800 and 1950 grams correspondingly. Childbirth complicated second degree perineal laceration and retained portions of placenta and membranes, puerperal period was uneventful. After 1.5 months, all infants discharged with her mother in a satisfactory condition with a weight of more than 3000 grams. Key words: multiple pregnancy, triplet pregnancy, delayed interval delivery in triplet pregnancy, preterm delivery.

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