BIRTH IN TRIPLET PREGNANCIES - VAGINAL DELIVERY - HOW OFTEN IS IT POSSIBLE

Objective. To compare cesarean section with vaginal delivery in triple r pregnancies. Design. Medical records of 16 triplet pregnancies were retrospectively reviewed. Setting. One hospital where planned, vaginal delivery of triplet gestations is the preferred policy. Subjects. Six teen women giving birth to triplets in the University Hospital, Uppsal a, Sweden. Results. Nine women were delivered vaginally, seven with ce sarean section. The corrected mortality was 3.3% in the group delivere d vaginally and zero in the cesarean section group. Twenty-three perce nt of the babies in the vaginally delivered group were without any mor bidity and 6% in the corresponding cesarean section group. Conclusions . In terms of fetal outcome cesarean section in triplets is not superi or to a policy of vaginal delivery. Vaginal delivery may be suggested when there are no obvious obstetrical contraindications.