{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T05:58:49Z","timestamp":1762408729861,"version":"3.40.4"},"reference-count":17,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fetal Diagn Ther"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>Uterine malformations and spontaneous triplet pregnancy are rare situations separately, and both are related to worse perinatal outcomes. In the 3 cases of combined triplet pregnancy and uterus didelphys previously published, at least 2 of the 3 fetuses died. Morbidity rates are also high. We report the case of a 24-year-old Caucasian woman with a uterus didelphys and two previous caesarean sections who carried a spontaneous triplet pregnancy. To our knowledge, this is the first case of a spontaneous triplet pregnancy in a uterus didelphys ever reported and the only one with uneventful perinatal outcome for all fetuses. Expectant management may be an alternative to embryo reduction to manage triplet pregnancies in a didelphys uterus, especially when this option is not considered. Nevertheless, there is not enough evidence to confirm which is the optimal management strategy, and more studies are needed.<\/jats:p>","DOI":"10.1159\/000314687","type":"journal-article","created":{"date-parts":[[2010,7,27]],"date-time":"2010-07-27T07:25:18Z","timestamp":1280215518000},"page":"227-230","source":"Crossref","is-referenced-by-count":2,"title":["Spontaneous Triplet Pregnancy Complicated by Uterus Didelphys: A Case Report"],"prefix":"10.1159","volume":"27","author":[{"given":"C\u00e9sar","family":"D\u00edaz-Garc\u00eda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica P.","family":"Subir\u00e1 Nadal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amaya","family":"Urgal Ayala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Cazorla Amor\u00f3s","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dolores","family":"Borr\u00e1s Su\u00f1er","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfredo","family":"Perales Mar\u00edn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2010,5,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1093%2Fhumrep%2F15.8.1856"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016%2FS0303-7207%2898%2900175-0"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1093%2Fhumrep%2F12.10.2277"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1071%2FRD04101"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002%2Fuog.4046"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002%2Fpd.541"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1159%2F000264429"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1056%2FNEJMoa041032"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1111%2Fj.1471-0528.2004.00439.x"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1471-0528.2003.02066.x"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1093%2Fhumrep%2F16.5.956"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1038%2Fsj.jp.7211405"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1159%2F000236360"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.fertnstert.2003.11.028"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1093%2Fhumrep%2Fdel048"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1080%2F14767050600825607"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1002%2Fuog.6387"}],"container-title":["Fetal Diagnosis and Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/314687","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/314687","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T19:22:57Z","timestamp":1745436177000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000314687"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":17,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2010,7,1]]},"published-print":{"date-parts":[[2010,7,28]]}},"URL":"https:\/\/doi.org\/10.1159\/000314687","archive":["Portico"],"relation":{},"ISSN":["1015-3837","1421-9964"],"issn-type":[{"type":"print","value":"1015-3837"},{"type":"electronic","value":"1421-9964"}],"subject":[],"published":{"date-parts":[[2010]]}}}