[Choice of delivery method in multiple pregnancy: twins, triplets and quadruplets]

From February 1996 tice May 1998 year 7 patients (5 with trigemini and 2 with quadrigemini) were delivery at the State University Hospital "Majchin Dome" The methods applied for delivery were: per vies naturalis--1 pregnancy with trigemini in 32 gestation wick and 1 spontaneous abortion due to hydramnions on guadrigemini in 23 g.w.; by cesarean section--4 pregnancies with trigemini in 29 g.w.--1, 32 g.w.--2 and in 36 g.w.--1 patients and 1 pregnancy with guadrigemini in 32 g.w. The trigemini delivery per vies naturalis was discharged from Hospital alive. From delivered by cesarean section (1 in 32 g.w. was fetus mortus), the rest--live, but this delivered in 29 g.w.--prematurely III and IV grade died up to 26 hour after delivery in spite off neonatal care. The remaining were discharged from Hospital alive. The guardigemini in 32 g.w. delivered by cesarean section were discharge from Hospital alive. The authors consider that by trigemini and quadrigemini after 32 g.w. the prefer method for delivery is cesarean section.