Hindawi Publishing Corporation Case Reports in Obstetrics and Gynecology Volume 2013, Article ID 451360, 4 pages http://dx.doi.org/10.1155/2013/451360 Case Report Neonatal Outcome from Triplet Interval Delayed Delivery: A Case Report Monika Lachowska, 1 Dorota PaluszyNska, 1 Tomasz Fuchs, 2 Robert WoytoN, 2 Mariusz Zimmer, 2 and Barbara Królak-Olejnik 1 1 Department of Neonatology, Medical University of Wrocław, ul. Borowska 213, 50-556 Wrocław, Poland 2 Department of Obstetrics and Gynecology, Medical University of Wrocław, ul. Borowska 213, 50-556 Wrocław, Poland Correspondence should be addressed to Monika Lachowska; mlachowska@op.pl Received 30 August 2013; Accepted 8 October 2013 Academic Editors: E. Cosmi, L. Nilas, E. Shalev, and K. Takeuchi Copyright © 2013 Monika Lachowska et al. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In the past decades, we have observed a large increase in the number of multifetal pregnancies, which is mainly associated with the introduction of assisted reproductive techniques. Even though neonatal intensive care of very premature infants has improved signifcantly, the risk of mortality and long-term morbidity is still much higher among these newborns. A longer interdelivery period may reduce perinatal mortality and morbidity. Te authors report the case of a delayed interval delivery in trichorionic, triamniotic triplet pregnancy. Afer the labor of the frst fetus in the 22nd week of gestation, a 75-day interval was achieved before the delayed delivery. To save the surviving fetuses, the umbilical cord was ligated at the cervical level immediately afer the frst delivery. Te patient received antibiotics, tocolytics, and corticosteroids. A baby boy who weighed 1750g and a girl who weighed 1700 g were successfully delivered by cesarean section in the 33rd week of pregnancy. Te babies were discharged home at the age of 28 days. A follow-up examination 20 weeks later showed that their neurological development was normal and without any major problems. Te maternal postpartum course was uneventful; the patient stayed in hospital taking care of the babies. 1. Introduction In the past decades, a signifcant increase in multifetal pregnancies has been observed, which is predominantly associated with the introduction of assisted reproductive techniques. Multiple gestation brings in a risk of perina- tal and postnatal complications both for the mother and her babies [1]. Te main neonatal complications in these pregnancies result from prematurity. Despite, signifcant improvements in neonatal intensive care of very premature infants, these newborns still have a signifcantly higher risk of mortality and long-term morbidity. Perinatal mortality rates in developed countries range from 47 to 120 per 1,000 births for twins and from 93 to 203 per 1,000 births for triplets [2] and are strictly associated with the gestational age. A delay of 2 or more days in the premature delivery in newborns born before 30 weeks of gestation is associated with improved infant survival and higher infant birth weight [3]. Delayed interval delivery is reported when one or more fetuses are delivered vaginally and the remaining ones are retained in uterus. Since the frst case of interval delivery described by Carson in 1880, a number of case reports have been published describing trials of postponing the delivery of remaining twins, triplets, and other multiples afer the frst premature delivery [2–18]. One of the most important factors which infuence neonatal outcome is the duration of intrauterine stay of the retained sibling(s) afer the delivery of the frst one(s). Te prolonged interdelivery period may reduce perinatal mortality and morbidity [4]. We report a case of extremely delayed interval delivery in triamniotic, trichorionic triplet pregnancy. Afer the labor of the frst fetus