Zusammenfassung
Durch In-vitro-Fertilisation kam es bei einer 36jährigen Afrikanerin zu einer Drillingsschwangerschaft. Der 1. Drilling wurde in der 26. Schwangerschaftswoche geboren und verstarb. Unmittelbar nach der Geburt wurde durch eine Cerclage und Tokolyse die Geburt der beiden in utero verbliebenen Drillinge aufgehalten und unter Tokolyse und Antibiotikabehandlung bis zur 29. Schwangerschaftswoche prolongiert. Dann mußten die beiden Drillinge durch Sectio entbunden werden; beide haben die Frühgeburt gesund überlebt.
Abstract
After premature birth of the first triplet we successfully delayed the delivery of the remaining triplets for 21 days until the 29th week of gestation.
The 36 year-old patient from Africa (Uganda) was suffering secondary sterility due to bilateral salpingectomy. After transfer of four in-vitro fertilised eggs, triplets were diagnosed ultrasonographically in the 7th week of gestation. In the 26th week, despite tocolysis, premature labour led to the delivery of a 740 g female foetus who died 2 days later. Immediately after delivery cerclage was performed under halothane anaesthesia. Further treatment consisted of tocolytics, antiseptics locally, antibiotics systemically, and rest in bed. In the 29th week a caesarean section had to be performed because of uncontrollable contractions and threatening asphyxia of the second triplet. Both infants, 1100 and 1150 g, were female, both survived without handicaps.
