Management of Quadruplet Pregnancy: A Case Report

  • Lhakpa Dolma Lama Department of Gynecology and Obstetrics, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
  • Tanya Das Department of Gynecology and Obstetrics, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
  • Asmita Neupane Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
  • Roshan Lama Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
  • Rakshya Pandey Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
  • Urmila Karki Department of Gynecology and Obstetrics, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Keywords: case report; cesarean section; fertility agent; multiple pregnancy; pregnancy; quadruplets

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.

Published
2020-02-29
How to Cite
Lama, L. D., Das, T., Neupane, A., Lama, R., Pandey, R., & Karki, U. (2020). Management of Quadruplet Pregnancy: A Case Report . Journal of Nepal Medical Association, 58(222). https://doi.org/10.31729/jnma.4861