Objectives To review triplet pregnancies managed within a single tertiary centre.

Method A retrospective review of triplet pregnancies from 2004 to 2010 at Leeds General Infirmary.

Results There were 17 sets of triplets: 9 trichorionic; 5 monochorionic diamniotic with a singleton and 3 monochorionic. 1 patient accepted reduction, 1 pregnancy spontaneously reduced and 1 abrupted at 22 weeks. 1 patient developed twin to twin transfusion syndrome (TTTS) and 2 developed pre-eclampsia. Elective delivery was planned for 34 weeks gestation. 7 went into preterm labour and had emergency delivery, all after 30 weeks. Only 4 patients progressed to 34 weeks. 12 of the 17 patients delivered 3 live babies. All were >30 weeks with satisfactory neonatal outcomes.

Conclusion Triplet pregnancies remain high risk with a significant chance of preterm delivery. Only four patients in our cohort proceeded to 34 weeks. The morbidity associated with prematurity has to be considered when counselling patients.