Birth of Quintuplets a Great Challenge

Abstract

Different names have been used for multiple births depending on the number of offspring of which common multiples are 2 and 3, in our case we have 5. They are associated with high rates of complications like: preterm labor, pre eclampsia, low birth weight and significant perinatal mortality and morbidity. Quintuplets occur rarely making the survival of infants even rarer. We here report a case of non-booked woman who presented in her third trimester of gestation. Who on ultrasound was found to be having 4 babies but surprisingly at the time of delivery,5 babies were delivered by caesarean section, of which one was IUD (intrauterine death) and another baby expired on the second day of operation due to interventricular hemorrhage as the infant was of low birth weight and premature. The remaining infants were kept in NICU. This is a very precious pregnancy and since we found out that the frequency of multiple pregnancies with more than two fetuses has increased considerably since the introduction of methods of ovulation induction the case was looked on carefully according to the requirements.

KEY WORDS: Quintuplets, antenatal care, caesarean section, perinatal mortality, perinatal morbidity, IUD(intrauterine death)