Dr. Cook recalls a memorable experience he had with patient who gave birth to triplets.
There are a number of women that we take care of because of their complication of multiple gestation and especially if they have three or more fetuses that they are caring, and we had a patient that just delivered in the last couple of months that had a triplet gestation and obviously wasn’t anticipating that. It was after an assisted reproductive technology procedure or an IVF procedure.
She did have four embryos replaced and we typically recommend that a lesser number be replaced to prevent some of those complications. But anyway, she found herself having a triplet gestation, lots of complications with hyperemesis or extreme nausea and vomiting in pregnancy, multiple hospitalizations, wasn’t certain she wanted to continue with three pregnancies, optimally or ultimately opted to continue with the triplet gestation.
She did deliver prematurely, but her children are all doing quite well in the neonatal intensive care unit this time with no major complications and she certainly has her hands full, but seems very pleased with the outcome. But it was a long haul for her and I think for us, we want to do everything we can to prevent higher order multiple gestations, triplet or more, but by the same token when we find ourselves in that situation we do everything we can to optimize the outcome for the mom and all the babies.
Well it’s always gratifying when we can bring a difficult situation to a more successful conclusion and pretty much all the patients we deal with start with some sort of difficult situation, either a prior past outcome that was not optimal or ongoing chronic medical condition that needs to be treated while still maintaining a pregnancy, or in this last case we discussed, a mom who is doing with multiple gestation in a body that is not really optimally designed to do that. So it’s always gratifying if we can help support them through that and even better, obviously, if we can get a good outcome or improved outcome over previous pregnancies.
About Dr. Curtis Cook, M.D.:
Dr. Curtis R. Cook, M.D., is a maternal-fatal medicine specialist and the Associate Director for Phoenix Perinatal Associates providing care for women with complicated, high-risk pregnancies. Dr. Cook received his medical degree from Indiana University School of Medicine and completed his residency at Butterworth Hospital in Michigan.