CONSERVATIVE TREATMENT WITH SUCCESSFUL OUTCOME OF A TRIPLET PREGNANCYAFTER THE MISCARRIAGE OF ONE FETUS IN THE 2ND TRIMESTER

Due to the increased availability of infertility treatment, multiple p regnancies, with various resulting complications have become more comm on. A woman in the 19th week of a triplet pregnancy came to the hospit al after the miscarriage of one of the fetuses at home. In keeping wit h our philosophy of minimal intervention in childbirth, we treated the woman conservatively. After confirming that the remaining two fetuses were in good condition, the woman was released home under ambulatory observation, with no antibiotics or tocolytic drugs. No further compli cations developed, and the woman gave birth in her 31st week to health y twin girls 82 days later. The successful outcome of this case demons trates that non-interventional, conservative methods could be a feasib le alternative to invasive intervention. We hope that our case will en courage more physicians to try out and report noninterventional method s, so that enough information could be gathered to help make correct m anagement decisions in the future.