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Monochorionic quadramniotic quadruplets: sonographic workup
I E Timor-Tritsch1, A Fleischer, A Monteagudo
1Columbia-Presbyterian Medical Center, Sloane Hospital for Women, Department of Obstetrics and Gynecology, New York, NY 10032, USA.
Objective:
We raise the issue of scanning multifetal pregnancies of higher order as early as possible. A rare case of monochorionic/quadramniotic pregnancy seeking multifetal pregnancy reduction and its clinical management is presented.
Methods:
Transabdominal scanning at 16 weeks was performed correctly diagnosing the monochorionic quadruplet pregnancy.
Results:
Suspecting vascular connections between the placentae, the fetal reduction was declined. The patient was delivered at 31 weeks. The 4 female neonates survived with slight ventilatory assistance.
Conclusion:
Multifetal pregnancies in general, but those of higher order in particular, have to be scanned as early as 8-10 weeks to correctly and easily assign their chorionicity and amnionicity. The case of a monochorionic/quadramniotic pregnancy and its clinical course are presented.