Spontaneus quadruplets – intrauterine triplets plus one ectopic pregnancy

Due to the widespread use of assisted reproductive technology the incidence of multifetal gestation has shown to increase rapidly (1). The incidence of spontaneous intrauterine twin pregnancy is about 1 in 80 and the incidence of spontaneous triplet pregnancy ranges from 1 in 6000 to 8000 births (2). In triplet and quadruplet pregnancies the risks of obstetric complications as well as maternal morbidity tend to be higher than in twin pregnancies (3). Therefore we present an even more infrequent case of spontaneous quadruplets as in intrauterine triplets plus a forth ectopic pregnancy. In this case a 31 year old…