Volume 9, Issue 3 (2024)
SJMR 2024, 9(3): 177-182 |
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Clinical trials code: IRCT20170501033743N3
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Giti S, Nateghi M R. Management of Missed Abortion in a Triplet Pregnancy: A Case Report. SJMR 2024; 9 (3) : 6
URL: http://saremjrm.com/article-1-298-en.html
URL: http://saremjrm.com/article-1-298-en.html
1- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran.
2- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran.
2- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran.
Abstract: (1385 Views)
Introduction: Multiple pregnancies, due to their physiological complexities and the increased risk of complications for both the mother and fetus, represent one of the most significant challenges in prenatal care. One of these complications is missed abortion, which can pose a threat to the mother's health and may require immediate medical intervention.
Case Report: A 34-year-old female with a triplet pregnancy was admitted to the Super Specialty Hospital in Tehran in 2023 for routine prenatal care. Ultrasound examination revealed that all three fetuses had experienced missed abortions, making pregnancy termination necessary. In a prior ultrasound, one fetus showed insufficient growth and GA was 10 days less than other fetuses. The cause of this discrepancy was identified as the presence of a cystic defect in the fetal abdomen, along with the failure of proper development of the head, neck, and chest. The patient underwent a successful dilation and curettage (D&C) procedure, and after the intervention, she was discharged on the same day with stable vital signs and a good general condition.
Conclusion: This case report highlights the management challenges and considerations associated with missed abortion in multiple pregnancies. In such cases, selecting an appropriate treatment approach to ensure maternal health is crucial. The study also emphasizes the importance of accurate monitoring and early detection of complications in multiple pregnancies. This case report can provide valuable insights into the complexities of managing multiple pregnancies and serve as a reference for clinicians dealing with similar cases. Accurate management and prompt intervention in such situations can help prevent serious complications and improve patient outcomes.
Case Report: A 34-year-old female with a triplet pregnancy was admitted to the Super Specialty Hospital in Tehran in 2023 for routine prenatal care. Ultrasound examination revealed that all three fetuses had experienced missed abortions, making pregnancy termination necessary. In a prior ultrasound, one fetus showed insufficient growth and GA was 10 days less than other fetuses. The cause of this discrepancy was identified as the presence of a cystic defect in the fetal abdomen, along with the failure of proper development of the head, neck, and chest. The patient underwent a successful dilation and curettage (D&C) procedure, and after the intervention, she was discharged on the same day with stable vital signs and a good general condition.
Conclusion: This case report highlights the management challenges and considerations associated with missed abortion in multiple pregnancies. In such cases, selecting an appropriate treatment approach to ensure maternal health is crucial. The study also emphasizes the importance of accurate monitoring and early detection of complications in multiple pregnancies. This case report can provide valuable insights into the complexities of managing multiple pregnancies and serve as a reference for clinicians dealing with similar cases. Accurate management and prompt intervention in such situations can help prevent serious complications and improve patient outcomes.
Article number: 6
Keywords: Multiple pregnancies, Missed abortion, Abortion management, Dilation and curettage (D&C), Pregnancy complications
Article Type: Original Research |
Subject:
Women Diseases
Received: 2023/11/16 | Accepted: 2024/12/10 | Published: 2025/01/21
Received: 2023/11/16 | Accepted: 2024/12/10 | Published: 2025/01/21
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