Re: Maternal and Fetal Outcomes of Triplet Gestation in a Tertiary Hospital in Oman

Sir, I read with interest the study by Al-Shukri et al. published in the SQUMJ May 2014 issue.1 Of the 18 sets of triplets, the authors stated that 16 (89%) were conceived through assisted reproductive technology (ART) and the remaining two (11%) were conceived spontaneously.1 Among the 54 studied neonates, neonatal complications included hyaline membrane disease in 25 (46%), hyperbilirubinaemia in 23 (43%), sepsis in 18 (33%), anaemia in 8 (15%), patent ductus arteriosus/atrial septal defect in 5 (9%) and necrotising enterocolitis in two neonates (4%). Surprisingly, there were no cases of birth defects reported. This seems interesting considering the following two points.