Fetomaternal and neonatal outcome of triplet pregnancy. promising results

To determine the fetomaternal and neonatal outcomes in triplet pregnancy. A retrospective review of 32 triplet pregnancies between January 2007 to December 2009 was carried out. This study was conducted at the Department of Obstetrics and Gynecology, Abha Maternity Hospital, Abha, Kingdom of Saudi Arabia. In this study, the most common complication was preterm labor, while other complications examined were not dramatically increased. The most common complication observed in neonates were respiratory distress syndrome with good neonatal outcome. The study demonstrated high perinatal mortality, mostly due to extreme low gestational age at delivery. We found a good maternal and neonatal outcome in patients who conceived with triplet, although the sample size is small due to a rare incidence of triplet gestation. This finding is helpful in counseling patients who had conceived triplets in terms of preterm delivery, mode of delivery, and the need for embryo reduction at earlier stages of pregnancy, as well as performing a prophylactic cervical cerclage

Retained fetal bones in-utero causing secondary infertility

Calcification in the endometrial cavity is rarely encountered. Most cases presented with a secondary infertility. A possible explanation of infertility could be due to bone fragments acting as a foreign body initiating inflammatory process in the endometrium which makes it a hostile environment for the embryo to implant. We are reporting a case of secondary infertility with hysteroscopic findings of bony fragments in the endometrial cavity. Hysteroscopic removal of the fragments was followed by a normal pregnancy

Ectopic pregnancy after bilateral salpingectomy

Ectopic pregnancy is a life threatening condition and is a major event in a woman's reproductive life. We report herein an unusual case of repeated ectopic pregnancy even after the excision of both fallopian tubes with a deleterious consequences and a near miss. This case teaches us a lesson not to forget ectopic pregnancy. The lady in this report underwent in vitro fertilization treatment cycle due to absence of both fallopian tubes as consequence of previous ectopic pregnancy and a hydrosalpinx; she conceived successfully but unfortunately the pregnancy was another ectopic pregnancy