Document Detail

Spontaneous triplet pregnancy complicated by uterus didelphys: a case report.
MedLine Citation:
PMID:  20453492     Owner:  NLM     Status:  MEDLINE    
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.
César Díaz-García; Jessica P Subirá Nadal; Amaya Urgal Ayala; Eduardo Cazorla Amorós; Dolores Borrás Suñer; Alfredo Perales Marín
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-05-10
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  27     ISSN:  1421-9964     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:  2010  
Date Detail:
Created Date:  2010-07-28     Completed Date:  2010-12-02     Revised Date:  2011-03-22    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  227-30     Citation Subset:  IM    
Copyright Information:
Copyright 2010 S. Karger AG, Basel.
Department of Obstetrics and Gynaecology, La Fe University Hospital, Valencia, Spain.
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MeSH Terms
Pregnancy Complications*
Pregnancy Outcome
Pregnancy, Multiple*
Uterus / abnormalities*

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