TRANSVERSE VERSUS LONGITUDINAL UTERINE INCISION IN CESAREAN DELIVERY OF TRIPLETS

It is commonly accepted that cesarean section is the preferred mode of delivery of triplets. The present study was performed to evaluate mat ernal complications and neonatal outcome in 21 women operated on by a transverse lower segment incision as compared to 8 parturients who und erwent surgery by a longitudinal uterine incision. There was no signif icant difference in mean gestational age at delivery, mean weight of t he newborns, Apgar scores, perinatal mortality rates, or intraoperativ e or postpartum hemorrhage incidence between the two groups. Thus, a t ransverse lower segment uterine incision should be used in triplet del iveries to increase the chances of a normal vaginal delivery in the fu ture.