Abstract
Quadruplet pregnancy is a pregnancy state where four fetuses grow simultaneously inside a mother's womb. Four fetuses developing in a womb is a challenge not only to the mother but to the obstetrician who has to calculate every risk associated with such pregnancy. High order pregnancy is considered a high risk pregnancy due to increase in maternal, fetal and neonatal morbidity and mortality. So a multidisciplinary approach with early involvement of neonatologists and anesthesiologists for the assessment of such case is essential for a successful obstetric outcome. Here we present a case report of 27 years G3P1L1A1 at 33 weeks 2 days of gestation with quadruplet pregnancy with previous lower segment Cesarian section with history of ovulation induction, delivered successfully via cesarean section with successful outcome of all 1 female and 3 male babies. Keywords: case report; cesarean section; fertility agent; multiple pregnancy; pregnancy; quadruplets.
Highlights
Higher order pregnancy is usually considered a high risk pregnancy due to associated increase in maternal, fetal and neonatal morbidity and mortality.[1,2,3,4] The incidence of such higher order multiple pregnancies ranges from 0.01% to 0.07% of all the pregnancies.[5]
32 weeks 1 day of gestation with the chief complaints of bilateral lower limb swelling for a duration of 1 month. She had been married for 8 years with previous 1 induced abortion and one female child aged 6 years who was delivered via cesarean section due to cephalo-pelvic disproportion. She was diagnosed as a case of quadruplet pregnancy with quadriamniotic quadrichorionic placenta by ultrasound done at 12 weeks of gestation
Lama et al Management of Quadruplet Pregnancy: A Case Report of multiple pregnancies. She registered for antenatal care at 17 weeks of gestation in our hospital during which she was started on hematinics and calcium from second trimester onward
Summary
Higher order pregnancy is usually considered a high risk pregnancy due to associated increase in maternal, fetal and neonatal morbidity and mortality.[1,2,3,4] The incidence of such higher order multiple pregnancies ranges from 0.01% to 0.07% of all the pregnancies.[5]. Higher order pregnancy is usually considered a high risk pregnancy due to associated increase in maternal, fetal and neonatal morbidity and mortality.[1,2,3,4] The incidence of such higher order multiple pregnancies ranges from 0.01% to 0.07% of all the pregnancies.[5] the frequency of multiple gestations has been in a rising trend due to evolution of assisted reproductive techniques which defies the Hellin’s Law, that is, quadruplets occurring 1:80 which translates to 1 in 512,000 live births.[3] Higher order multiple pregnancies could be monozygotic, multizygotic or a combination of the two.[6] Here we present a case of quadruplet pregnancy in 27 years G3P1L1A1, delivered successfully at 33 weeks 2 days of gestation via caesarean section. She was diagnosed as a case of quadruplet pregnancy with quadriamniotic quadrichorionic placenta by ultrasound done at 12 weeks of gestation.
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