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.