Article Text

Download PDFPDF
Unexpected outcome (positive or negative) including adverse drug reactions
Spontaneous monochorionic triplet pregnancy with no fetal anomaly or feto-fetal transfusion
  1. Sahruda Gandham,
  2. Onome Ogueh
  1. Department of Obstetrics & Gynaecology, Princess Royal Hospital, Brighton & Sussex University Hospitals NHS trust, UK
  1. Correspondence to Dr Sahruda Gandham, sahruda{at}yahoo.co.in

Summary

We present a case of spontaneously conceived monochorionic triamniotic triplet pregnancy with no fetal anomaly or feto-fetal transfusion. The mother developed gestational diabetes at 20 weeks gestation, and at 20 weeks and 4 days gestation triplet 2 was found to have selective growth restriction and absent end diastolic flow. Although laser treatment and clamping of the umbilical cord of the growth-restricted baby was considered, the management was conservative with regular ultrasound scans and antenatal corticosteroids at 24 weeks gestation, and the umbilical artery Doppler reverted to normal at 26 weeks and 4 days and growth velocity was maintained. An elective caesarean section was performed at 33 weeks gestation to deliver three boys in excellent condition who only required feeding support.

View Full Text

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.