MANAGEMENT OF A TRIPLET GESTATION COMPLICATED BY UTERUS DIDELPHYS

Background: Assisted reproductive technologies are making it possible for women to conceive when it was otherwise impossible. One of the sid e effects is multiple gestations. This may be especially disadvantageo us when it occurs within an anomalous uterus. Patient and Methods: A 3 6-year-old women with the help of gamete intrafallopean transfer conce ived triplets in a uterus didelphys. This pregnancy was further compli cated by anencephaly of one of the triplets. The patient was managed b y a combination of chorionic villi sampling and selective reduction th at ended with the successful delivery of a term infant. Conclusion: Pr egnancy reduction can be safely performed in a twin pregnancy on one s ide of a uterus didelphys. More reports will be required to determine whether this is the most optimal choice.