title: Successful management of a quadruplet pregnancy. A case report.
abstract: A quadruplet pregnancy was diagnosed by ultrasound antenatally and managed successfully in a community teaching hospital. The patient was hospitalized at 27 weeks' gestation. She was treated with a high-protein, high-calorie diet. Sonographic follow-up and monitoring of fetal growth were done, glucocorticoids were given to attempt to stimulate fetal pulmonary maturity, and Ritodrine was given orally as a prophylactic. On three occasions intravenous Ritodrine was used to inhibit premature labor. A well-organized delivery plan with interdepartmental cooperation achieved the successful delivery of four babies at approximately 33 weeks.
mesh_terms: D000328:Adult; D002996:Clomiphene / Q000627:therapeutic use; D005260:Female; D005323:Fetal Monitoring; D006801:Humans; D007231:Infant, Newborn; D007247:Infertility, Female / Q000188:drug therapy; D007752:Obstetric Labor, Premature / Q000188:drug therapy; D010348:Patient Care Team / Q000458:organization & administration; D011247:Pregnancy; D011272:Pregnancy, Multiple; D011783:Quadruplets; D012312:Ritodrine / Q000627:therapeutic use; D014463:Ultrasonography
chemical_list: D002996:Clomiphene; D012312:Ritodrine