Maternal mirror syndrome associated with triplet pregnancy

We report here a case of dichorionic triamniotic triplet pregnancy, which developed maternal mirror syndrome at 27th weeks of gestation. A 37-year-old woman was admitted to our department with extreme maternal edema, hypertension and proteinuria. Her examination revealed leg and facial edema, ascites and hypertension. Dichorionic twin died in utero at 20 weeks of gestation, and pregnancy continued uneventfully until 25th week of gestation for monochorionic set of twins. At this time, growth discordance was diagnosed between the fetuses, but amniotic fluids of both fetuses were normal. At 27th weeks of gestation, the patient was admitted to our department with extreme edema, weight gain and hypertension. Her 24-hour protein excretion was 27 g. She also had ascites in the abdomen. The ultrasound examination revealed oligohydramnios, growth restriction and absent end-diastolic flow in the umbilical artery in one fetus and normal growth, amniotic fluid and Doppler parameters in the co-twin. The placenta was enlarged and hydropic. The woman was hospitalized, and antihypertensive treatment was initiated. Corticosteroids were also administered to the mother. The growth restricted twin died 3 days after admission and the surviving co-twin was delivered 2 days later because of fetal distress and was admitted to neonatal intensive care unit. Maternal symptoms improved rapidly after delivery.

Anahtar Kelimeler

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