Two fetal papyraceous in triplet pregnancy in a resource limited setting: A case report

Abstract

Introduction: Fetal papyraceous results when an early fetal death occurs in utero (usually in early 2nd trimester between 15 to 20 weeks) and the fetus is not expelled out. A single fetal death in multiple pregnancy is not uncommon. However the death of one or more fetuses in multiple pregnancy leads to increased morbidity and mortality of the surviving fetus/ fetuses.Case Discussion: A case of a 43 year old primigravida with a triplet pregnancy who had fetal demise of two of the fetuses. She was monitored closely and eventually had an Emergency caesarean section at 30 weeks gestation, with delivery of a live fetus and two fetal papyraceous.Conclusion: Fetal papyraceous diagnosed in the second or third trimester is rare. Careful fetal and maternal monitoring is required to improve fetal and maternal outcomes.