Objective: To compare cesarean section with vaginal delivery in triplet pregnancies.
Design: Medical records of 16 triplet pregnancies were retrospectively reviewed.
Setting: One hospital where planned, vaginal delivery of triplet gestations is the preferred policy.
Subjects: Sixteen women giving birth to triplets in the University Hospital, Uppsala, Sweden.
Results: Nine women were delivered vaginally, seven with cesarean section. The corrected mortality was 3.3% in the group delivered vaginally and zero in the cesarean section group. Twenty-three percent of the babies in the vaginally delivered group were without any morbidity and 6% in the corresponding cesarean section group.
Conclusions: In terms of fetal outcome cesarean section in triplets is not superior to a policy of vaginal delivery. Vaginal delivery may be suggested when there are no obvious obstetrical contraindications.