Department of Family Medicine, The Aga Khan University-Dar es Salaam Campus, PO Box 38129, Dar es Salaam, Tanzania.
Family Medicine-Premier Care clinic-Masaki, PO Box 220, Dar es Salaam, Tanzania.
J Med Case Rep. 2021 Jun 21;15(1):321. doi: 10.1186/s13256-021-02952-w.
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.
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.
Delayed interval delivery improves neonatal outcomes of high-order pregnancy after fetal loss even in a resource-limited setting.
由于辅助生殖技术的进步，多胎妊娠的发生率一直在上升。三胞胎妊娠的主要并发症是胎儿丢失和早产。自发性三胞胎妊娠较为罕见。一旦发生胎儿丢失，通常会采用延迟间隔分娩来娩出残留胎儿。目前，对于延迟间隔分娩并无统一的方法。
一位 31 岁的东非妇女，因自然三胞胎妊娠于孕 19 周时因先兆流产就诊于我院。其中一个胎儿已流产，我们对其进行了门诊延迟间隔分娩。孕 35 周时，她行剖宫产娩出了一对健康的双胞胎。
即使在资源有限的情况下，延迟间隔分娩也能改善高序次妊娠胎儿丢失后的新生儿结局。
