Case Report

Volume: 8 | Issue: 8 | Published: Aug 26, 2024 | Pages: 169 - 171 | DOI: 10.24911/ejmcr.173-1714214513

Rare case of quadruplets vaginal delivery in Western Uganda: missed opportunities during antenatal and referral


Authors: Leonard Ssebwami , Charles Balungi , Henry Kule , Carol Atino , Simon Byonanuwe orcid logo


Article Info

Authors

Leonard Ssebwami

Department of Obstetrics and Gynecology, Hoima Regional Referral Hospital, Hoima, Uganda, Department of Obstetrics and Gynaecology, Kampala International University Western Campus, Ishaka

Charles Balungi

Department of Obstetrics and Gynecology, Hoima Regional Referral Hospital, Hoima

Henry Kule

Department of Obstetrics and Gynecology, Hoima Regional Referral Hospital, Hoima

Carol Atino

Department of Obstetrics and Gynecology, Hoima Regional Referral Hospital, Hoima

Simon Byonanuwe

Department of Obstetrics and Gynaecology, Kampala International University Western Campus, Ishaka

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Publication History

Received: April 27, 2024

Revised: July 27, 2024

Accepted: July 30, 2024

Published: August 26, 2024


Abstract


Background: High-order twin pregnancy remains a serious challenge for both the clinicians and the mothers during pregnancy and after delivery with increased maternal and perinatal morbidity and mortality. Case Presentation: We present a case of a 27-year-old Gravida 2 Para 1+0 at 36 weeks and 2 days admitted in preterm labor in the second stage who successfully delivered four live babies three vertex and one breech. Conclusion: Early diagnosis of high-order twin pregnancy and referral to an appropriate specialized health center is crucial in reducing associated maternal and perinatal morbidity and mortality.

Keywords: Case report, high-order twin pregnancy, quadruplet pregnancy, multiple pregnancy, green