Published: 2017-04-27

Successful quadruplet surrogate pregnancy after turbulent medical disorders in first trimester

Tochukwu Christopher Okeke, Aikay A. Ubaka, Augustine O. Olibe, Kenechukwu Olisa Okeke, Godwin U. Odoh, Cyril C. Ezenyeaku, Lawrence C. Ikeako, Emmanuel O. Izuka, Chidinma I Onwuka


Quadruplet surrogate pregnancy is a rare pregnancy but, has become common due to assisted reproductive technology (ART). Its management is a big challenge to obstetricians and co-clinicians worldwide. This was a pregnancy managed at the University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria in a 33 year old hypertensive surrogate mother with turbulent first trimester medical disorders that called for termination of the pregnancy by other co-managing clinicians. However, the pregnancy became stable in late 2nd trimester with emergency caesarean section at 33 weeks following preterm premature rupture of membranes (PPROM). Its management was a big challenge that necessitated multidisciplinary approach with successful outcome of four healthy live babies (three males and one female) and the controversial practice of surrogacy


Assisted reproductive technology, Multidisciplinary management approach, Quadruplet pregnancy, Surrogacy

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Oxford English Dictionary, 2nd edition: quads used for quadruplets.

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