Quintuplets born to a woman without fertility treatment in Pakistan

Fatima, Mahrukh; Kasi, Pashtoon Murtaza; Rehman, Rabeea; Baloch, Shahnaz Naseer

doi:10.1016/j.fertnstert.2008.07.1724

Cited by 3 publications

(3 citation statements)

References 8 publications

(9 reference statements)

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“…Their effective follow-up requires early diagnosis with regular monitoring. It is estimated that 60% of triplets are due to fertility treatments, 90% of quadruplets, and 99% of quintuplets are due to fertility treatments [6] . In antenatal care in Somalia, it's a tragedy that many women don't take proper antenatal care and go to hospitals mostly when complications arise.…”

Section: Discussionmentioning

confidence: 99%

“…A published the first case of spontaneous quintuplet pregnancy in Africa was published in 1888 in Duffle in present-day Uganda in A. J. Mounteney-Jephson [5] . In the literature, cases of spontaneous quintuplet pregnancies have been reported in India, Pakistan, and Germany [3] , [6] . Many cases of quintuplet pregnancies have been obtained after embryo transfer following in vitro fertilization [4] , [7] , [9] .…”

Section: Introductionmentioning

confidence: 99%

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First recorded spontaneous quintuplets born in Somalia: A case report

Hussein¹

2021

International Journal of Surgery Case Reports

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Introduction and importance Quintuplets conceived spontaneously are a rare occurrence. As compared with singleton pregnancies, quintuplets are associated with high rates of obstetric complications and significant prenatal morbidity and mortality. To our knowledge, here we reported the first case of spontaneous quintuplet pregnancy faced by a practicing clinician in an underdeveloped country (Somalia) with a Successful outcome. Case presentation A 32-year-old woman presented in her third trimester of gestation at 30 weeks feeling pain and uterine contractions. Clinical findings and investigations Ultrasound examination showed multiple pregnancies with four alive intrauterine pregnancies, but quintuplets could not be ruled out. Fetal heart activities were present, and the amniotic fluid was normal in amount. Interventions and outcome Extensive preparations made included four sets of ventilators. We did an emergency cesarean section under spinal anesthesia: five alive infants, three boys and two girls delivered in cephalic and breech presentations. Conclusions Quintuplet pregnancy is rare but poses relevant clinical problems to both the obstetrician and the neonatologist. Relevance and impact The takeaway lesson from this case would be that Pregnancy with multiples is considered a high-risk pregnancy; with more complications observed as the number of fetuses increases, their effective follow-up requires early diagnosis with regular monitoring. Through this case, we would like to highlight the urgent need to focus on the delivery of women's health care services in Somalia, along with the need to recognize the importance of receiving antenatal care in the community so that the burden of thousands of lives that are lost each year could be reduced. This case report has been reported according to the SCARE Criteria (Agha et al., 2020).

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

First recorded spontaneous quintuplets born in Somalia: A case report

Hussein¹

2021

International Journal of Surgery Case Reports

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“…There are examples in the literature of quintuplets that were born alive, as reported by Fatima et al. (10). Strauss et al.…”

Section: Clinical Characteristic Of the Patientsmentioning

confidence: 93%

Long‐term neurological outcome of a sextuplet pregnancy

Rizzo

Gulisano

Girone³

et al. 2011

Acta Paediatrica

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Quintuplet Pregnancy: A Rare Case after Clomiphene Citrate Therapy and Review of Literature

Bambara¹,

Issa²,

Barnabé³

et al. 2019

OJOG

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Multiple pregnancies are increasing with the progress in Assisted Reproductive Technology. The authors report a case of quintuplet pregnancy after Clomiphene Citrate stimulation. This is a 28-year-old woman, G2, P1 with a 4-year-old child alive, who consulted for maternity desire. She was treated with Clomiphene Citrate at 100 mg daily for five days. The presence of a quintuplet pregnancy at 8 weeks + 5 days was found by ultrasound on 29/12/2018. During the follow up of the pregnancy, she presented pre-eclampsia from 24 th week (TA 140/100 mmHg, significant proteinuria, edema of lower limbs). Methyl Dopa treatment was instituted. Tocolytic treatment with Salbumol was prescribed facing uterine contractions at 30 weeks. The patient had premature rupture of membranes at 34 weeks + 4 days, followed by uterine contractions. She had a cesarean section at the same day with the birth of five newborns alive. This is the first reported case in Burkina Faso.

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Quintuplets born to a woman without fertility treatment in Pakistan

Cited by 3 publications

References 8 publications

First recorded spontaneous quintuplets born in Somalia: A case report

First recorded spontaneous quintuplets born in Somalia: A case report

Long‐term neurological outcome of a sextuplet pregnancy

Quintuplet Pregnancy: A Rare Case after Clomiphene Citrate Therapy and Review of Literature

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