Successful Management of Quadruplet Pregnancy following Spontaneous Conception: A Rare Case Report

Authors

  • Deepak Shrestha Lumbini Medical College Teaching Hospital, Palpa
  • Babita Thapa Lumbini Medical College Teaching Hospital, Palpa
  • Shreyashi Aryal Lumbini Medical College Teaching Hospital, Palpa
  • Buddhi Kumar Shrestha Lumbini Medical College Teaching Hospital, Palpa
  • Kiran Panthee Lumbini Medical College Teaching Hospital, Palpa
  • Balkrishna Kalakheti Lumbini Medical College Teaching Hospital, Palpa

Keywords:

high-risk pregnancy, multiple pregnancy, pregnancy outcome, quadruplet pregnancy

Abstract

Introduction: When more than two fetuses simultaneously develop in the uterus, it is called higher order multiple pregnancy. The incidence of such pregnancies ranges from 0.01% to 0.07%.

Case report: We report a case of 26-year-old G2P1L0D2 with previous history of preterm vaginal twin delivery, diagnosed to have quadruplet pregnancy. She was admitted at 28 weeks of gestation for safe confinement. At 33 weeks of gestation, emergency cesarean section was conducted with outcome of two female and two male babies with quadriamniotic and quadrichorionic placenta, without any intra and post-operative complications.

Conclusion: A multidisciplinary approach with good neonatal care facilities is warranted for a better outcome in higher order multiple pregnancies.

DOI: https://doi.org/10.22502/jlmc.v4i1.88

Journal of Lumbini Medical College. 2016;4(1):46-9

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Published

2017-01-04

How to Cite

Shrestha, D., Thapa, B., Aryal, S., Shrestha, B. K., Panthee, K., & Kalakheti, B. (2017). Successful Management of Quadruplet Pregnancy following Spontaneous Conception: A Rare Case Report. Journal of Lumbini Medical College, 4(1), 46–49. Retrieved from https://nepjol.info/index.php/JLMC/article/view/16366

Issue

Section

Case Reports