menotropins and Fetal-Membranes--Premature-Rupture

A case of Sheehan's syndrome presented with secondary amenorrhea and was put on L-thyroxine, prednisolone and cyclical estrogen and progestin. Ovulation induction with gonadotrophins and intrauterine insemination with husband's semen resulted in a twin pregnancy. Antepartum course was complicated by bronchial asthma, gestational diabetes and pregnancy-induced hypertension. Cesarian section was done at 34 weeks gestation for preterm rupture of membranes and breech presentation. Both babies and their mother were doing well at 6 months of follow-up.

Topics: Adult; Amenorrhea; Asthma; Breech Presentation; Cesarean Section; Diabetes, Gestational; Female; Fertility Agents, Female; Fetal Membranes, Premature Rupture; Humans; Hypertension; Hypopituitarism; Menotropins; Ovulation Induction; Pregnancy; Pregnancy Complications; Pregnancy Outcome; Twins

The occurrence of a triplet pregnancy discordant for anencephaly is rare and its management presents a clinical dilemma. We report what appears to be the first case of a triplet pregnancy with two anencephalic fetuses complicated by premature contractions and severe polyhydramnios. Its management, which results a healthy newborn weighing 1385 g is discussed.

Topics: Adult; Anencephaly; Chorionic Gonadotropin; Female; Fertilization in Vitro; Fetal Membranes, Premature Rupture; Gestational Age; Humans; Judaism; Male; Menotropins; Obstetric Labor, Premature; Polyhydramnios; Potassium Chloride; Pregnancy; Pregnancy Reduction, Multifetal; Sperm Injections, Intracytoplasmic; Tocolysis; Triplets; Ultrasonography; Uterine Cervical Incompetence