Journal of gynecology obstetrics and human reproduction · 2026
Delayed-interval delivery in a trichorionic triamniotic triplet pregnancy: Prolongation of pregnancy after premature delivery of two fetuses, a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Rincón-Flores Erika Lizette, Zalapa-Gómez María Fernanda, Salum-Rodríguez Lucy, Rangel-Nava Hugo Alfredo, Flores-Garcia Ivonne, Moreno-Plata Hector Alexandro, García-Garza Manuel Rolando
Аннотация
BACKGROUND: Trichorionic triamniotic (TCTA) triplet pregnancies carry high risks of extreme prematurity. In rare cases, delayed-interval delivery after premature expulsion of one or more fetuses may improve outcomes.
CASE: We report a 31-year-old woman with a TCTA triplet pregnancy who spontaneously delivered the first two fetuses at 22 + 3 and 22 + 5 weeks. Expectant management of the third fetus was initiated despite sterile intraamniotic inflammation. Broad-spectrum antibiotics, inpatient monitoring, and antenatal corticosteroids were administered. At 27 + 5 weeks, a viable female infant (978 g, Apgar 7/8) was spontaneously delivered. The neonatal course was complicated by early- and late-onset sepsis and persistent seizures requiring multiple antiepileptic drugs, although the infant was ultimately discharged from the NICU after 77 days.
CONCLUSION: This case supports the feasibility of delayed delivery in TCTA pregnancies when strict selection criteria are met, highlighting the importance of individualized care and multidisciplinary management.
CASE: We report a 31-year-old woman with a TCTA triplet pregnancy who spontaneously delivered the first two fetuses at 22 + 3 and 22 + 5 weeks. Expectant management of the third fetus was initiated despite sterile intraamniotic inflammation. Broad-spectrum antibiotics, inpatient monitoring, and antenatal corticosteroids were administered. At 27 + 5 weeks, a viable female infant (978 g, Apgar 7/8) was spontaneously delivered. The neonatal course was complicated by early- and late-onset sepsis and persistent seizures requiring multiple antiepileptic drugs, although the infant was ultimately discharged from the NICU after 77 days.
CONCLUSION: This case supports the feasibility of delayed delivery in TCTA pregnancies when strict selection criteria are met, highlighting the importance of individualized care and multidisciplinary management.