Washington's first surviving quintuplets received names, gift offers and renewed medical attention yesterday, and through it all were reported in continued stable and satisfactory condition.
A spokesman at George Washington University Hospital said some of the children "are experiencing respiratory problems," but said "this degree of illness is common to premature infants."
The quints, born Tuesday to Daniel and Pamela Pisner of Olney, were delivered by cesarean section nearly eight weeks early after their mother began experiencing contractions complicated by hypertension. Mrs. Pisner, who had been hospitalized at GW since May 17, was also reported in stable and satisfactory condition yesterday.
The hospital spokesman said the Pisners had settled on names for the quints. In order of their birth they are: Devin Matthew, 3 pounds, 4 1/2 ounces; Ian Scott, 3 pounds; Shira Lee (the only girl) 2 pounds, 6 ounces; Michael Evan, 2 pounds, 13 1/2 ounces; and Elliot Richard, 2 pounds, 9 ounces.
A family spokesman said the Pisners had also received numerous offers of help from various merchants in the Washington area, including Safeway and People's Drugs, each of which offered them a year's free supply of diapers.
The Gerber Corporation announced it had offered to supply the quints with "everything that Gerber makes for babies as long as they need it," including nursing bottles, nipples, vinyl pants and bibs, as well as food.
John Whitlock, Gerber's director of public relations, said the offer was a standard one the company has made to the parents of the four other sets of quintuplets now alive in the United States.
Gerber used to feed triplets for a year, Whitlock said, but had to quit that in the early 1960s after fertility drugs began producing a boom in multiple births. Quadruplets still get coupons their parents can exchange for 66 dozen cases of strained food, Whitlock said, and the company is currently underwriting about 20 such families.
The quintuplets are the first children for the Pisners, who celebrated their eighth anniversary June 8.
Mrs. Pisner had been under treatment with the drug Pergonal, which stimulates the hormone secretions that trigger ovulation in women. The drug often produces multiple births.
Dr. Allan B. Weingold, chairman of the hospital's department of obstetrics and gynecology, said the hospital set up a "plan of management" for Mrs. Pisner's pregnancy when ultrasound examination disclosed in January that she was carrying five children.
The major risks associated with such an unusual obstetric event, he said, are premature labor and rupture of the fetal membrane, retarded fetal growth, maternal nutrition deficiencies and overdistention of the mother's uterus during delivery with subsequent hemorrhaging.
To prevent these, he said, Mrs. Pisner was visited early in her pregnancy and examined at home twice weekly by obstetric physicians and nurses.
The growth of the babies was monitored by ultrasound measurements every three weeks.
The mother's diet was boosted by between 1,000 and 1,200 calories over her normal intake, and supplemented with extra protein plus iron and folic acid, supplemental B-complex and C vitamins and essential trace minerals including zinc, copper, magnesium, iodine and calcium.
In addition, she received injections of a "progesterone-like medication" from the 16th to the 24th week to assist in relaxing the uterus, and oral medication designed to prevent the onset of uterine contractions from the 20th week of pregnancy until delivery.
Since her hospitalization in the 20th week of pregnancy, Weingold said, she had been "at essentially complete bedrest," and gained 38 pounds on a 5-foot-4-inch frame the doctor described as "quite svelte in its non-pregnant state."
Mrs. Pisner is expected to be released from the hospital in five to seven days, Weingold said. The quints are expected to remain another six to eight weeks.