Department of Gynecology and Obstetrics, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2020 Feb;58(222):122-124. doi: 10.31729/jnma.4861.
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.
四胞胎妊娠是指母亲子宫内同时有四个胎儿生长的妊娠状态。四个胎儿在子宫内发育不仅对母亲,而且对必须计算与这种妊娠相关的每一个风险的产科医生来说都是一个挑战。由于孕产妇、胎儿和新生儿发病率和死亡率的增加,多胎妊娠被认为是一种高危妊娠。因此,多学科方法,早期让新生儿科医生和麻醉师参与此类病例的评估,对于成功的产科结局至关重要。在这里,我们报告了 1 例 27 岁、G3P1L1A1 孕龄 33 周 2 天的四胞胎妊娠,有剖宫产史和排卵诱导史,通过剖宫产成功分娩,所有 1 名女性和 3 名男性婴儿均成功存活。
病例报告;剖宫产术;生育药物;多胎妊娠;妊娠;四胞胎