Tesemma Melese Gezahegn, Yadeta Mikiyas Tadesse
Department of Obstetrics and Gynecology, Jimma University Medical Center (JUMC), Jimma, Ethiopia.
Case Rep Obstet Gynecol. 2018 Aug 8;2018:5760147. doi: 10.1155/2018/5760147. eCollection 2018.
The incidence of triplet is raising several hundred percent due to wide availability of fertility therapies. It is associated with different perinatal and maternal complications. The average duration of gestation and birth weight for triplet are 32.5 weeks and 1735 grams (total weight of triplet set being about 5.2kg), respectively. However, it is not uncommon to find the rarest situations in obstetrics. Here we present a case of triplet set born from gravida 5 para 4 mother at full term (GA of 39 weeks and 3 days), dated from reliable last normal menstrual period (LNMP). Each triplet has weight comparable to average weight of singleton at term. Triplets A, B, and C weigh 2.8 kg, 3 kg, and 3.2 kg, respectively. The triplet set weigh 9 kg in aggregate. Surprisingly the neonates have no perinatal complication, but the mother developed postpartum hemorrhage secondary to uterine atony. All individual triplets are large for gestational age on adjusted fetal weight standard of triplet from singleton's growth curve. Such type of triplet outcome is unique in its presentation and has never been reported in scientific literature as to the knowledge of the authors. Thus, we can consider it as "an out of box presentation of triplet". This initiates us to report the case.
由于生育治疗的广泛应用，三胞胎的发生率正上升了数百个百分点。它与不同的围产期和母亲并发症相关。三胞胎的平均妊娠期和出生体重分别为32.5周和1735克（三胞胎总体重约为5.2千克）。然而，在产科中发现最罕见的情况并不罕见。在此，我们报告一例孕5产4的母亲足月分娩三胞胎的病例（孕周为39周零3天），末次正常月经日期（LNMP）可靠。每个三胞胎的体重与足月单胎的平均体重相当。三胞胎A、B和C的体重分别为2.8千克、3千克和3.2千克。三胞胎总体重为9千克。令人惊讶的是，新生儿没有围产期并发症，但母亲因子宫收缩乏力发生了产后出血。根据单胎生长曲线调整后的三胞胎胎儿体重标准，所有单个三胞胎均为大于胎龄儿。这种类型的三胞胎结局在表现上是独特的，据作者所知，科学文献中从未有过报道。因此，我们可以将其视为“三胞胎的非典型表现”。这促使我们报告该病例。
