A rare spontaneous quadruplet pregnancy in Isfahan

Spontaneous quadruplet is rarely seen. Quadruplet pregnancy is accompanied with severe complications such as abortion , premature labor , first trimester vaginal bleeding , anemia and …etc . Our patient was a 29- year old lady with history of first pregnancy twin that was aborted. In the second pregnancy at three months of gestation sonography showed quadruplet pregnancy so cerclage was performed for the patient. At 26 weeks gestation she was admitted to Alzahra hospital with diagnosed premature labor at 29 weeks plus 2 days of gestation the pregnancy was terminated by cesarean section , 4 newborns 2 healthy girls and one boy and the second boy expired after 24 hours due to RDS.