@article{Lama_Das_Neupane_Lama_Pandey_Karki_2020, title={Management of Quadruplet Pregnancy: A Case Report }, volume={58}, url={http://jnma.com.np/jnma/index.php/jnma/article/view/4861}, DOI={10.31729/jnma.4861}, abstractNote={<p>Quadruplet pregnancy is a pregnancy state where four fetuses grow simultaneously inside a mother’s womb. Four fetuses developing in a womb is a challenge not only to the mother but to the obstetrician who has to calculate every risk associated with such pregnancy. High order pregnancy is considered a high risk pregnancy due to increase in maternal, fetal and neonatal morbidity and mortality. So a multidisciplinary approach with early involvement of neonatologists and anesthesiologists for the assessment of such case is essential for a successful obstetric outcome. Here we present a case report of 27 years G3P1L1A1 at 33 weeks 2 days of gestation with quadruplet pregnancy with previous lower segment Cesarian section with history of ovulation induction, delivered successfully via cesarean section with successful outcome of all 1 female and 3 male babies.</p>}, number={222}, journal={Journal of Nepal Medical Association}, author={Lama, Lhakpa Dolma and Das, Tanya and Neupane, Asmita and Lama, Roshan and Pandey, Rakshya and Karki, Urmila}, year={2020}, month={Feb.} }