Successful quadruplet surrogate pregnancy after turbulent medical disorders in first trimester

Authors

  • Tochukwu Christopher Okeke Department of Obstetrics and Gynecology, University of Nigeria teaching Hospital (UNTH), Enugu, Nigeria
  • Aikay A. Ubaka Department of Medicine, Cimac Clinics, Enugu, Nigeria
  • Augustine O. Olibe Department of Obstetrics and Gynecology, University of Nigeria teaching Hospital (UNTH), Enugu, Nigeria
  • Kenechukwu Olisa Okeke Department of Medicine, College of Medicine, UNEC, Enugu Campus, Enugu, Nigeria
  • Godwin U. Odoh Department of Obstetrics and Gynaecology, UNTH, Enugu, Nigeria.
  • Cyril C. Ezenyeaku Department of Obstetrics and Gynaecology, Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Amaku, Awka, Nigeria.
  • Lawrence C. Ikeako Department of Obstetrics and Gynaecology, Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Amaku, Awka, Nigeria.
  • Emmanuel O. Izuka Department of Obstetrics and Gynaecology, UNTH, Enugu, Nigeria.
  • Chidinma I Onwuka Department of Obstetrics and Gynaecology, UNTH, Enugu, Nigeria.

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20171982

Keywords:

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

Abstract

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

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Published

2017-04-27

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Section

Case Reports