Spontaneous Triplets Carried in a Uterus Didelphys

AbstractBackgroundSpontaneous triplets in a uterus didelphys are an extremely rare finding. Only four other cases are reported in the literature.CaseA 24year old gravida 3 para 2-0-0-2 conceived spontaneous triplets in a uterine didelphys. She developed cervical insufficiency and underwent cerclage placement at 17weeks. After spontaneous rupture of membranes at 29weeks gestation, she underwent repeat cesarean section, with delivery of three viable fetuses. Mother and all three babies are currently alive and well.ConclusionExpectant management with cerclage placement is a possible alternative to selective reduction for desiring patients with triplets in a uterus didelphys

Long-term carbon and nitrogen dynamics at SPRUCE revealed through stable isotopes in peat profiles

Peatlands encode information about past vegetation dynamics, climate, and microbial processes. Here, we used δ15N and δ13C patterns from 16 peat profiles to deduce how the biogeochemistry of the Marcell S1 forested bog in northern Minnesota responded to environmental and vegetation change over the past  ∼ 10000 years. In multiple regression analyses, δ15N and δ13C correlated strongly with depth, plot location, C∕N, %N, and each other. Correlations with %N, %C, C∕N, and the other isotope accounted for 80% of variance for δ15N and 38% of variance for δ13C, reflecting N and C losses. In contrast, correlations with depth and topography (hummock or hollow) reflected peatland successional history and climate. Higher δ15N in plots closer to uplands may reflect upland-derived DON inputs and accompanying shifts in N dynamics in the lagg drainage area surrounding the bog. The Suess effect (declining δ13CO2 since the Industrial Revolution) lowered δ13C in recent surficial samples. High δ15N from −35 to −55cm probably indicated the depth of ectomycorrhizal activity after tree colonization of the peatland over the last 400 years, as confirmed by the occasional presence of wood down to −35cm depth. High δ13C at  ∼ 4000 years BP (−65 to −105cm) could reflect a transition at that time to slower rates of peat accumulation, when 13C discrimination during peat decomposition may increase in importance. Low δ13C and high δ15N at −213 and −225cm ( ∼ 8500 years BP) corresponded to a warm period during a sedge-dominated rich fen stage. The above processes appear to be the primary drivers of the observed isotopic patterns, whereas there was no clear evidence for methane dynamics influencing δ13C patterns