Key result
Emergency C-section and medical management ensure survival of mother and triplets with acute pulmonary edema.
Case Report (n=1)
No
Acute pulmonary edema is a rare but life-threatening complication of triplet pregnancy that can be successfully managed with prompt medical treatment and emergency delivery.
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Prompt intervention succeeded in this triplet case; leaves open generalizability and requires confirmation in larger cohorts.
The incidence of triplet pregnancies is on rise due to increase in the use of fertility enhancing drugs for assisted reproductive techniques .Triplet pregnancies are associated with adverse maternal and fetal outcome .There is many fold increase in the risk to the pregnant woman due to associated medical complications like anemia and hypertension.Acute pulmonary edema is rare but life threatening complication of triplet pregnancy.We report a case of primigravida with 32 weeks of triplet pregnancy, who developed acute pulmonary edema, secondary to pregnancy induced hypertension .She was delivered by emergency caesarean section after treatment of pulmonary edema.All three premature low birth weight babies survived after cesarean birth .Patient required admission in intensive care unit for three days after caesarean section .Patient was discharged on eighteenth postoperative day with three fully breastfed babies.
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Dr.V B Bangal (2012) conducted a case report in Acute pulmonary edema complicating triplet pregnancy (n=1). Emergency caesarean section and medical management was evaluated on Maternal and fetal survival. Emergency caesarean section and medical management successfully treated acute pulmonary edema in a 21-year-old woman with a triplet pregnancy, resulting in survival of the mother and all three babies.
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