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Multiple Gestations of High Fetal Number

From the Obstetrics and Gynecology and Pediatric Services of Denver General Hospital, the Department of Obstetrics and Gynecology. Mercy Hospital and the Newborn Center of Children's Hospital, Denver. Colorado.

Reports of two spontaneously occurring sets of quadruplets arc presented. The principal medical and social problems inherent in these large sets are reviewed. The most important of the medical complications are premature labor, difficulty in delivery of some infants due to malposition, and intra- and postpartum hemorrhage. The offspring are consequently often premature and depressed at birth. Optimal outcome in these multiple pregnancies involving several fetuses is dependent upon good planning following accurate diagnosis so as to provide adequate personnel, equipment, and supplies at the time of delivery for any adverse eventuality. Solutions to social-psychic-economic problems associated with these large sets are often difficult to find.