TITLE:
Spontaneous Monochorionic Triamniotic Triplet Pregnancy: A Case Report
AUTHORS:
Al Hussain Al Hazmi, Ola Tayeb, Afrah Al Mutairi, Mufareh Asiri
KEYWORDS:
Monochorionic Triamniotic, Triplet Pregnancy, Case Report
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.6,
June
28,
2023
ABSTRACT: Background: Monochorionic triamniotic (MCTA) triplet pregnancy is a rare entity associated with a high risk of
complications. In most previously reported
cases, the pregnancy was conceived with the use of assisted reproductive technologies, and these cases were associated
with complications. Case Presentation: We report a 28-year-old woman with a spontaneously conceived MCTA triplet pregnancy diagnosed at the gestational age of 26
weeks. All fetuses had normal amniotic fluid and umbilical artery Doppler
findings were normal. The estimated weight of fetuses was 848 g, 891 g, and 1
kg, respectively. The patient was managed
conservatively with a plan to monitor fetal growth every two weeks and a
Doppler study twice weekly. On the 8th day of admission, the patient developed labor pains. Per vaginal
examination revealed 1 - 2 cm cervical dilatation. Cesarean section was performed, and three girls
were delivered with a single placenta (birth weight: 820, 925, and 960 g, respectively). Conclusion: Monochorionic triplet pregnancy
is associated with a higher risk of fetal morbidity and
mortality. Therefore, awareness of its complications can facilitate better
management of such cases.