Journal of Nepal Medical Association (Feb 2020)

Management of Quadruplet Pregnancy: A Case Report

  • Lhakpa Dolma Lama,
  • Tanya Das,
  • Asmita Neupane,
  • Roshan Lama,
  • Rakshya Pandey,
  • Urmila Karki

DOI
https://doi.org/10.31729/jnma.4861
Journal volume & issue
Vol. 58, no. 222

Abstract

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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.

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