Quadruplet pregnancy following a single course of clomiphene citrate. An expensive success.
Prescribing clomiphene citrate for infertility patients has been taken very lightly. High order pregnancy can happen with this treatment. In addition to high perinatal mortality and morbidity of multiple pregnancy, the economic and social strains on the national health system and the family is great. The case presented showed that although the outcome of pregnancy was successful but the cost to the national health was tremendous. It is therefore recommended that measures should be taken to avoid high order births. Moreover, delaying the delivery, if possible, will be cost effective.
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Department of Obstetrics and Gynecology, King Khalid University Hospital, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia.
D000328:Adult; D001034:Apgar Score; D001724:Birth Weight; D002996:Clomiphene / Q000627:therapeutic use*; D003363:Cost Control; D005260:Female; D005300:Fertility Agents, Female / Q000627:therapeutic use*; D017048:Health Care Costs / Q000706:statistics & numerical data; D006801:Humans; D007247:Infertility, Female / Q000188:drug therapy*; D015931:Intensive Care, Neonatal / Q000191:economics; D010062:Ovulation Induction / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000191:economics; D011783:Quadruplets; D012529:Saudi Arabia; D016216:Ultrasonography, Prenatal
D005300:Fertility Agents, Female; D002996:Clomiphene