Multidisciplinary Management of Quintuplets during Periods of Pandemic in Guayaquil

Abstract

Coronavirus disease 2019 (COVID-19) is a pathology that was first identified in Wuhan - China in the month of December 2019, affecting the population worldwide with clinical conditions ranging
from mild with a common cold to more severe cases such as severe acute respiratory syndrome so late January 2020 the World Health Organization (WHO) declared an international pandemic and public health emergency as a consequence of the COVID-19 disease.

The objective of this study was to describe an obstetric clinical case of quintuple spontaneous pregnancy that occurred during the COVID 19 pandemic in the city of Guayaquil in 2021, its multidisciplinary management and evolution.

For the presentation of the clinical case, informed consent was requested from the patient, authorization was obtained from the Department of Teaching and Research of the Alfredo G Paulson Hospital, allowing the review of clinical history and images for publication.

We present the case of a 34-year-old female patient with a history of obstetric gynaecology: 3 live children, presented with multiple gestation (quintuplets) conceived spontaneously without any method of assisted reproduction or infertility treatment, an extremely rare case from which 5 live newborns are obtained with a weight of 1400 gr on average, of different sexes. It should be noted that this is the second quintuple pregnancy that occurred in 2021 at the Alfredo G Paulson hospital, The first was seen 4 months earlier in a nulliparous 28-year-old female patient who used ovulation inducers and in which 5 live newborns of different sexes were obtained and are currently in good health.

The incidence of quintuples in Ecuador increased in 2021, as a result of assisted reproduction techniques and probably to the drastic and different changes that arose from the presentation of the pandemic by COVID 19.