Instituto Hondureño de Seguridad Social, San Pedro Sula, Cortés, Honduras.
Departamento de Epidemiología, Hospital Dr. Mario Catarino Rivas, San Pedro Sula, Cortés, Honduras.
Reprod Health. 2022 Apr 21;19(1):97. doi: 10.1186/s12978-022-01400-2.
To solve infertility, modern science has promoted assisted reproduction techniques such as in vitro fertilization, ovulation induction, and artificial insemination. Quadruple-type multiple pregnancies occur in 1 of every 500,000 pregnancies, and it is estimated that 90% occur due to assisted reproductive techniques, which often lead to numerous complications.
Here we present a case of a 33-year-old woman, who desired pregnancy, but had a history of primary infertility diagnosed by hysterosalpingography, and endometriosis, which was treated by fulguration and medical management. Concomitantly, the patient was anovulatory. To fulfill her wish, she underwent homologous artificial insemination, after treatment, she successfully conceived quadri-chorionic quadri-amniotic infants, who were born at 37.2 weeks, without perinatal or maternal complications.
This paper presented the parameters of prenatal care, appropriate management approach, and successful resolution without maternal-fetal complications despite the inherent risks of this type of pregnancy.
为解决不孕问题，现代科学促进了辅助生殖技术的发展，如体外受精、排卵诱导和人工授精。四重类型的多胎妊娠在每 50 万例妊娠中发生 1 例，据估计，其中 90%是由辅助生殖技术引起的，这往往会导致许多并发症。
这里我们介绍了一个 33 岁女性的病例，她渴望怀孕，但曾因子宫输卵管造影检查诊断为原发性不孕，并患有子宫内膜异位症，采用电灼和药物治疗。同时，该患者无排卵。为了满足她的愿望，她接受了同源人工授精，治疗后成功怀上了四绒毛膜四羊膜的婴儿，这些婴儿在 37.2 周时出生，没有围产期或母体并发症。
本文介绍了产前护理的参数、适当的管理方法，并成功解决了问题，尽管这种类型的妊娠存在固有风险，但没有母婴并发症。
