Quadruplet pregnancy with two or more monoamniotic fetuses digital illustration

Quadruplet pregnancy with two or more monoamniotic fetuses Save


ICD-10 code: O30.22

Chapter: Pregnancy, childbirth and the puerperium

Quadruplet pregnancy with two or more monoamniotic fetuses

Multiple pregnancies are always a joyous moment for parents, but when it comes to quadruplet pregnancies with two or more monoamniotic fetuses, it can be a challenging situation for both the mother and the medical team. Monoamniotic twins and higher-order multiples share the same amniotic sac and placenta, making them at risk for complications such as cord entanglement, preterm labor, and fetal distress.

If you or someone you know is expecting quadruplets with two or more monoamniotic fetuses, it is essential to receive specialized prenatal care and monitoring to ensure the best possible outcome for both mother and babies.

  1. Frequent prenatal visits: Women carrying multiple monoamniotic fetuses require more frequent prenatal visits to monitor fetal growth, detect any potential complications, and evaluate the overall health of the mother and babies. These visits may include ultrasounds, non-stress tests, and amniotic fluid level measurements.
  2. Early hospitalization: Antenatal hospitalization may be necessary for women carrying monoamniotic multiples to ensure close fetal monitoring and timely delivery in case of any complications. The duration of hospitalization may vary depending on the gestational age of the fetuses and the presence of any medical conditions in the mother.
  3. Cord blood flow monitoring: Since monoamniotic fetuses share the same placenta and amniotic sac, they are at risk of developing cord entanglement, which can lead to fetal distress or death. Cord blood flow monitoring through ultrasound or Doppler studies can detect any changes in blood flow and alert medical professionals to intervene if necessary.
  4. Delivery planning: Delivery of monoamniotic multiples typically occurs via Cesarean section to avoid any potential cord entanglement or other complications during vaginal delivery. The timing of delivery depends on several factors, including the gestational age of the fetuses, the presence of any medical conditions, and the overall health of the mother and babies.

Quadruplet pregnancy with two or more monoamniotic fetuses is a high-risk pregnancy that requires specialized care and monitoring. With timely intervention and close management by a team of healthcare professionals, the chances of a successful outcome for both mother and babies increase significantly.