Case Report: PDF OnlyDelayed Interval Delivery in a Triplet PregnancyKao, Sheng-Poa; Hsu, Senzana; Ding, Dah-Chinga, b, * Author Information aDepartment of Obstetrics and Gynecology, Buddhist Tzu Chi Medical Center, Tzu Chi University, Hualien, Taiwan, R.O.C. bGraduate Institute of Medical Science, School of Medicine, Tzu Chi University, Hualien, Taiwan, R.O.C. *Correspondence to: Dr. Dah-Ching Ding, Department of Obstetrics and Gynecology, Buddhist Tzu Chi Medical Center, 707, Section 3, Chung Yang Road, Hualien City, Hualien 970, Taiwan, R.O.C. E-mail: [email protected] Received: April 29, 2005; • Accepted: September 15, 2005. Journal of the Chinese Medical Association: February 2006 - Volume 69 - Issue 2 - p 92-94 doi: 10.1016/S1726-4901(09)70121-2 Metrics Abstract Due to a surge in the availability of assisted reproductive techniques (ART), the incidence of multiple pregnancies is increasing. Preterm labor is a major complication in such pregnancies. Preterm delivery of the first fetus is often followed by delivery of the remaining fetuses. However, conservative management and delayed interval delivery in the remaining fetuses might allow for fetal lung maturity and would reduce perinatal morbidities. A 32-year-old female had a quadruplet pregnancy after receiving ART. Fetal reduction to triplet pregnancy was performed at 11 weeks of gestation. The remaining triplet pregnancy was stable until 29 weeks of gestation, when the first triplet was delivered after spontaneous rupture of membranes. Under intensive monitoring, the remaining 2 fetuses were delivered by cesarean section at 31 weeks of gestation. Only the first fetus had retinopathy after discharge. In conclusion, delayed interval delivery of the remaining fetuses should be attempted after preterm delivery of the first fetus. © 2006 by Lippincott Williams & Wilkins, Inc.