This finding is similar to the study conducted in Mali33 and Tanzania.7 However, in another study, grand multiparity was not a risk factor for stillbirth the study was done in Nigeria.51 The possible explanation might be differences across studies related to the utilization of antenatal care services across countries.52,53 The other explanation is that most pregnant women arrived late having an already intrauterine death or with hypoxic babies during delivery.15, Regarding birth weight, the risk of macrosomia was significantly higher in grand multiparity than multiparity. 2019;14(6):e0218259. Create an account to start this course today. More specifically, multipara means to describe a woman who has experienced two or more viable pregnancies which result in potentially viable offspring. Parity refers to viable pregnancies that last beyond 20 weeks. Saudi J Health Sci. WebAssessment and management of women during postnatal period. Increase in prothrombin time. Grand multiparity has been associated with increased risks of adverse pregnancy outcomes such as post-partum hemorrhage,gestational hypertension, Da Silva FT, Gonik B, McMillan M, et al. Data were cleaned for missing values and inconsistencies. Javascript is currently disabled in your browser. We would like to thank the Pan African University of Life and Earth Sciences Institute, the African Union for financial support, and the University of Ibadan for hosting this Ph.D. program. The Sidama people number 8.8 million (4.01% of the national population). J Evol Med Dent Sci. As a natural health doctor, she helps you learn how you can take back your health while helping your body heal itself. BMC Pediatr. Afzal A, Mahajan N, Firdous N. Pregnancy outcomes in grand multiparous patients: a hospital based study from Jammu and Kashmir, India. Fundus firm at umbilicus. Several features of Ajong AB, Agbor VN, Simo LP, Noubiap JJ, Njim T. Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes. Acta Obstet Gynecol Scand. World Health Organization. The .gov means its official. Grand Prairie, Texas 75052. 2017;6(2):28462851. Non-diabetic fetal macrosomia: outcomes of elective delivery versus expectant management. Alsammani MA, Jafer A, Khieri S, Ali A, Shaaeldin M. Effect of grand multiparity on pregnancy outcomes in women under 35 years of age: a comparative study. In this finding, many perinatal complications were shown to be higher in grand multiparous women than multiparas (stillbirth, preterm, big baby, and Apgar score <7 at 5 minutes, P<0.05). The mean birth weight of babies born from women with grand multiparity was 3140.3 grams and multiparity was 3165.9 grams among women with grand multiparous than multiparous women (t-test = 0.53, P-value=0.596), but there was no meaningful difference between grand multiparity and multiparity. No significant differences were found among the three groups for preterm or post-term births, small-for-gestational-age infants, polyhydramnios, oligohydramnios, perinatal death, fetal distress, multiple births, placenta previa, abruptio placentae or cord prolapse. 2020;15(8):e0236965. Al-Shaikh GK, Ibrahim GH, Fayed AA, Al-Mandeel H. Grand multiparity and the possible risk of adverse maternal and neonatal outcomes: a dilemma to be deciphered. WebThe incidence of grand multiparity was only 4.7%; however, 25% were less than 30 years old. WebGrand Prairie. Nevertheless, grand multiparty might not be discouraged as long as women are provided with good perinatal care. Yet, limitations observed in this study include the follow-up periods were not included after perinatal periods, and for some cases, gestational age was reported subjectively rather than objectively. Associations & Partners 53. The questionnaires were prepared following a thorough review of different kinds of published literature.7,12,13,17,18,2840 The interview questionnaires of participants contain the clients information, socio-demographic factors, obstetrics, and reproductive health history characteristics, maternal health services use during a current and previous pregnancy, nutritional status of women, and adverse perinatal outcome parts. All other trademarks and copyrights are the property of their respective owners. Grand multiparity has been associated with increased risks of adverse pregnancy outcomes such as post-partum hemorrhage,gestational hypertension, gestationaldiabetes mellitus and high perinatal mortality.There is limited information about the impact of high parity on pregnancy outcomes in Tanzania. 2014;14(1):90. doi:10.1186/1471-2393-14-90, 39. Contrary to this study, a study done on knowledge and associated factors of postnatal mothers toward essential newborn care practices found that those postnatal mothers who were primipara were almost two-fold more likely to have poor knowledge compared to grand-multipara (Berhan & Gulema, 2018). Others like the gender of the neonate, birth asphyxia, birth trauma during delivery, and admission to NICU were no association between grand multiparity and multiparity (P> 0.05) (Table 2). Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Also, compared to women of low parity, grand multiparous women are at higher risk of having stillbirths, preterm delivery, and big babies. We collected 3656 Maternal mortality fell by almost half between 1990 and 2015; 2017. Professor Elie Al-Chaer, Tamirat Tesfaye Dasa,1,2 Michael A Okunlola,3 Yadeta Dessie4 1Department of Reproductive Health Sciences, Life and Earth Sciences Institute (Including Agriculture and Health), Pan African University, Ibadan, Nigeria; 2Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia; 3Department of Obstetrics and Gynaecology, College of Medicine, University College Hospital, University of Ibadan, Ibadan, Nigeria; 4School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaCorrespondence: Tamirat Tesfaye Dasa, Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, P.O. Qualified and trained health professionals were recruited as data collectors and supervisors. 8. Testimonials 2019 Aug;23(8):1098-1107. doi: 10.1007/s10995-019-02746-z. In this study, high incidences of adverse perinatal outcomes occurred among women with grand multiparity. Would you like email updates of new search results? BMC Public Health. 29. Int J Reprod Contracept Obstet Gynecol. 1776 US-287, 41. This work is published and licensed by Dove Medical Press Limited. International Statistical Classification of Diseases and Related Health Problems, Tenth Revision. - Definition, Symptoms & Treatment, What Is Ectopic Pregnancy? All rights reserved. J Adv Med Medl Res. Learn More Request Appointment Adverse birth out comes and associated factors among delivered mothers in Dessie referral hospital North East Ethiopia; 2018:16. Determinants of adverse birth outcome in Tigrai region, North Ethiopia: hospital-based case-control study. 2019;5(2):103106. - Definition, Types & Properties, Aluminum Hydroxide: Formula & Side Effects, Working Scholars Bringing Tuition-Free College to the Community, Fetal distress or an abnormal fetal presentation, Precipitous delivery (the occurrence of a fast labor and delivery), Uterine atony (decreased ability of the uterus muscle to contract properly) or uterine rupture, Placenta previa (when the placenta partially or totally covers the cervical os opening during delivery), Amniotic fluid embolism (when amniotic fluid or other fetal materials enter the mother's bloodstream), Obstetrical hemorrhage (often the result of uterine atony), Stress incontinence or urgency (the contraction of the bladder muscle, causing urination), Levator ani dysfunction, a form of pelvic floor muscle dysfunction (when the pelvic muscles become too tight). 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Am J Obstet Gynecol. The datasets used during this study are available from the principal investigator on reasonable request. Grandmultiparity (GMP) has long been considered an obstetric complication for both mother and fetus, although recent studies indicate that, with proper perinatal care, women with high-parity rates are no longer at high risk. Advanced age might play a major role on pregnancy outcomes in GMP. Alsammani MA, Jafer AM, Khieri SA, Ali AO, Shaaeldin MA. A multigravida is a woman who has experienced two or more pregnancies, regardless of length or outcome. EPIDEMIOLOGY. Urinary tract infections during pregnancy, Chapter two maternal and child health care, Obesity in pregnancy by dr alka mukherjee dr apurva mukherjee nagpur m.s. [2]The International Safe Motherhood Conference which was convened in Nairobi, Kenya, in 1987, to address the appalling high maternal death rates in developing countries, identified grand multiparity as a definite risk, with a high score of 2 out of a maximum of 3, which depends on their potential impact on the outcome of pregnancy. Acta Obstet Gynecol Scand. 2016;34(4):184187. WebOf these, 224 (17.9%) were grand multiparas (GM) defined as mothers of parity greater than or equal to 6. HHS Vulnerability Disclosure, Help The age of the grandmultiparas was significantly higher compared with with the control groups, which may explain the higher incidence among them of antenatal medical disorders, such as diabetes mellitus and hypertensive disease. WebManagement In antennal care good nutrition, prophylactic and therapeutic iron and folic therapy to prevent and treat iron and folic acid deficiency anemia is must. - Causes, Symptoms & Treatment, What Is Chloasma? doi:10.1081/QEN-120001878, 49. Perinatal outcome in grand and great-grand multiparity: effects of parity on obstetric risk factors. Which of the following outcomes indicates that the medication is effective? The consent was obtained after explaining the purposes of the study, the data collection procedures, the benefits and risks of participating in the study, and the voluntariness of study subjects. Women who had multiparity (Para 2 to 4) were enrolled as a non-exposed group. Data were collected at baseline and postnatal on several risk factors through labour and delivery, including maternal characteristics and potential confounding variables. A final, more complex example of a multigravida and multipara individual is a woman who has experienced four pregnancies with four viable births and one miscarriage during early pregnancy being elaborated as "gravidity 5 parity 4." Contact Us In this study, 837 women were recruited of whom 18 were not included due to loss to follow-up, and perinatal outcomes were not registered properly. During, the following guidelines are prescribed. Addah A, Ikobho E. A comparison of the pregnancy and labour outcomes between nulliparous and grand multiparous pregnancies in the Niger Delta. http://www.who.int/whr/2004/annex/country/can/en/, Creative Commons Attribution - Non Commercial (unported, v3.0) License. Blood pressure 120/80. This finding was comparable to the studies conducted in Ethiopia (19%), Nigeria (25%), and Bangladesh (23%).22,25,50 Also, the finding showed that the risk of preterm birth was higher with grand multiparity. Craney TA, Surles JG. 1996-2023 MedicineNet, Inc. An Internet Brands company. WebManagement The cases are considered as high risk as such they require adequate antenatal care and should have a mandatory hospital delivery. Likewise, low birth weight was higher among women with grand multiparous than multiparous women (21.0% vs 14.2%, p=0.014). Roy R, Vernekar M. Feto-maternal outcome in grand multipara. [2]On the other hand, in developed countries with improved and optimal obstetric services, parityper seis no longer considered a significant risk for adverse obstetric and perinatal outcomes. Adverse perinatal outcomes or complications were defined as the presence of either or more of the following: stillbirth, low birth weight, macrosomia, preterm, admission to neonatal intensive care unit (ICU), and first-minute birth asphyxia in women giving birth more than five or more and less than five births. copyright 2003-2023 Study.com. Grand Multiparity: Risk Factors and Outcome in a Tertiary Hospital: a Comparative Study. 2006 Aug;23(6):345-9. doi: 10.1055/s-2006-947158. this site will not function whilst javascript is disabled. 2002;14(3):391403. Caesarean section rate was 30.0% in our study. PMC 2014;8(3):706708. Dr. Barbara E. Austin, ND, is a doctor of Naturopathy. This topic will discuss issues related to grand multiparity. Recommend this site The current study examines the outcome of delivery in 1700 women in their fifth or more delivery, as compared with two control groups: 622 primiparas and 735 multiparas (two to three previous deliveries). Placenta previa is one risk associated with advanced maternal age multipara. Maternal and fetal outcomes of labor in grand-multipara women. By accepting, you agree to the updated privacy policy. Mgaya AH, Massawe SN, Kidanto HL, Mgaya HN. STATA Version 14 was used for analysis.Results: The overall cumulative incidence of adverse perinatal outcomes was 33% (95% CI: 29.9%, 36.4%). A woman who has given birth 5 or more times is called a - Definition, Causes, Symptoms & Treatment, What Is PSA? Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications (malpresentation, Grand multipara: The term "multipara" applies to any woman who has given birth 2 or more times. 2015;131:E445. 1997 Sep;76(8):755-9. doi: 10.3109/00016349709024342. A woman who has experienced five or more viable pregnancies is known as a grand multipara and a woman with ten or more viable pregnancies lasting beyond 20 weeks is a great-grand multipara. The cumulative incidence of adverse perinatal outcomes was 40.8% (95% CI: 3547) among grand multiparous compared to their counterparts 30.3% (95% CI: 2734) which was different (P-value=0.003). Alwan BA, Abdulridha AS. It is situated in the southern part of the country, which is 273 kilometers away from Addis Ababa, the capital city of Ethiopia. Open access peer-reviewed scientific and medical journals. WebChapter 21: Nursing Management of Labor and Birth at Risk Term 1 / 50 A client in preterm labor is receiving magnesium sulfate IV and appears to be responding well. 43. This study aimed to investigate the prevalence and factors associated Each day, thousands of women around the globe give birth to children. doi:10.1371/journal.pone.0236965, 54. A woman who has had two pregnancies would be considered multigravida, but if only one pregnancy was full-term, she would only be considered primipara and noted as "gravidity 2" (two pregnancies) "parity 1" (only one pregnancy lasting beyond 20 weeks). Role on pregnancy outcomes in GMP Ectopic pregnancy considered as high risk such! ) were enrolled as a natural health doctor, she helps you learn you! 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This study, high incidences of adverse perinatal outcomes occurred among women with grand multiparity was only %... Were enrolled as a natural health doctor, she helps you learn how you can take back your health helping! Webthe incidence of grand multiparity was only 4.7 % ; however, 25 % were less 30! % vs 14.2 %, p=0.014 ) comparison of the pregnancy and outcomes! Professionals were recruited as data collectors and supervisors permission from Dove Medical Press Limited 23 ( 8 ):1098-1107.:!
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