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Birth in triplet pregnancies. Vaginal delivery--how often is it possible?
1Department of Obstetrics and Gynaecology, University Hospital, Uppsala, Sweden.
Objective:
To compare cesarean section with vaginal delivery in triplet pregnancies.
Design:
Medical records of 16 triplet pregnancies were retrospectively reviewed.
Setting:
One hospital where planned, vaginal delivery of triplet gestations is the preferred policy.
Subjects:
Sixteen women giving birth to triplets in the University Hospital, Uppsala, Sweden.
Results:
Nine women were delivered vaginally, seven with cesarean section. The corrected mortality was 3.3% in the group delivered vaginally and zero in the cesarean section group. Twenty-three percent of the babies in the vaginally delivered group were without any morbidity and 6% in the corresponding cesarean section group.
Conclusions:
In terms of fetal outcome cesarean section in triplets is not superior to a policy of vaginal delivery. Vaginal delivery may be suggested when there are no obvious obstetrical contraindications.