RT Journal Article SR Electronic T1 Quadruplet pregnancy following a single course of clomiphene citrate. An expensive success JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 294 OP 296 VO 21 IS 3 A1 Abotalb, Zeinab YR 2000 UL http://smj.org.sa/content/21/3/294.abstract AB Prescribing clomiphene citrate for infertility patients has been taken very lightly. High order pregnancy can happen with this treatment. In addition to high perinatal mortality and morbidity of multiple pregnancy, the economic and social strains on the national health system and the family is great. The case presented showed that although the outcome of pregnancy was successful but the cost to the national health was tremendous. It is therefore recommended that measures should be taken to avoid high order births. Moreover, delaying the delivery, if possible, will be cost effective.