Triplets with Two IUFD with IUGR of Live Fetus with DIC in a Patient with BOH and Septate Uterus.

Multiple pregnancies account for 3 % of all births. The incidence of triplet pregnancy is 1 in 8,100 pregnancies. However, use of in vitro fertilization and ovulation induction has increased the incidence of multiple pregnancies. The incidence of Mullerian defects in women with recurrent miscarriage is 5–10 % [1] and the incidence in late miscarriage and preterm births is more than 25 % [1]. The occurrence of triplet pregnancy in patients with a septate uterus and previous recurrent pregnancy losses is rare. The occurrence of intrauterine fetus death (IUFD) of two fetuses of the triplets with development of chronic disseminated intravascular coagulation (DIC) in the mother with survival of one fetus is all the more rare. Heparin has an important but controversial role in treatment of such cases.