Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Obstetrics and Gynecology
Volume 2013 (2013), Article ID 451360, 4 pages
http://dx.doi.org/10.1155/2013/451360
Case Report

Neonatal Outcome from Triplet Interval Delayed Delivery: A Case Report

1Department of Neonatology, Medical University of Wrocław, ul. Borowska 213, 50-556 Wrocław, Poland
2Department of Obstetrics and Gynecology, Medical University of Wrocław, ul. Borowska 213, 50-556 Wrocław, Poland

Received 30 August 2013; Accepted 8 October 2013

Academic Editors: E. Cosmi, L. Nilas, E. Shalev, and K. Takeuchi

Copyright © 2013 Monika Lachowska et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In the past decades, we have observed a large increase in the number of multifetal pregnancies, which is mainly associated with the introduction of assisted reproductive techniques. Even though neonatal intensive care of very premature infants has improved significantly, the risk of mortality and long-term morbidity is still much higher among these newborns. A longer interdelivery period may reduce perinatal mortality and morbidity. The authors report the case of a delayed interval delivery in trichorionic, triamniotic triplet pregnancy. After the labor of the first fetus in the 22nd week of gestation, a 75-day interval was achieved before the delayed delivery. To save the surviving fetuses, the umbilical cord was ligated at the cervical level immediately after the first delivery. The patient received antibiotics, tocolytics, and corticosteroids. A baby boy who weighed 1750 g and a girl who weighed 1700 g were successfully delivered by cesarean section in the 33rd week of pregnancy. The babies were discharged home at the age of 28 days. A follow-up examination 20 weeks later showed that their neurological development was normal and without any major problems. The maternal postpartum course was uneventful; the patient stayed in hospital taking care of the babies.