TAILIEUCHUNG - Monochorionic triamniotic triplet pregnancy with a co-triplet fetus discordant for congenital cystic adenomatoid malformation of the lung

Ensuring universal access to SRH services and information is essential for achieving many, if not all, of the Millennium Development Goals (MDGs), especially those on maternal health, child survival, HIV and AIDS and gender equality [5]. Most maternal deaths can be prevented if there is skilled attendance at birth to cope with potentially fatal complications. Access to safe and effective family planning services and contraception empowers women to have more control over when to have children and lessens the incidence of unsafe abortions. Also, contraception can help reduce the transmission of STIs, including. | Reproductive Health BioMed Central Case report Open Access Monochorionic triamniotic triplet pregnancy with a co-triplet fetus discordant for congenital cystic adenomatoid malformation of the lung Ahmet Gul 1 Halil Aslan1 Altan Cebeci1 Yavuz Ceylan1 and Ali Ismet Tekirdag2 Address 1Maternal and Fetal Unit Istanbul Bakirkoy Women and Children Hospital Istanbul Turkey and - Reproductive Medicine Unit Istanbul Bakirkoy Women and Children Hospital Istanbul Turkey Email Ahmet Gul - ahmetgul@ Halil Aslan - halil34aslan@ Altan Cebeci - acebeci@ Yavuz Ceylan - yavuzceylan@ Ali Ismet Tekirdag - aliismettekirdag@ Corresponding author Published 08 April 2005 Received 25 September 2004 Reproductive Health 2005 2 2 doi 1742-4755-2-2 Accepted 08 April 2005 This article is available from http content 2 1 2 2005 Gul et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Spontaneous monochorionic triamniotic pregnancy is rare and is at increased risk for pregnancy complications. The presence of an anomalous fetus further complicates the management. Case presentation We present a case of monochorionic triamniotic triplet pregnancy diagnosed at l5 weeks of gestation with one fetus having developed a multicystic lung lesion suggestive of congenital cystic adenomatoid malformation CCAM . At 24 weeks the largest cyst measured l0 mm in diameter. We managed the pregnancy conservatively and delivered three live male fetuses with birth weights 1560 g 1580 g and 1590 g at 35 weeks of gestation. Two newborns were admitted to the neonatal intensive care unit with respiratory distress the third one died due to sepsis 7 days postpartum. .

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