Abstract
Introduction: Pregnancy in grand multipara has been considered as high risk because there is higher chance of complication during pregnancy, labour and puerperium.
Objective: To evaluate various maternal and foetal complications associated with a grand multipara during pregnancy, delivery and puerperium.
Methods: This prospective study was carried out from 1st January 2016 to 31st December 2016 in obstetrics and gynaecology department of Gonosashthaya Nogor Hospital, Dhanmondi, Dhaka. 200 grand multipara pregnant patients were selected those who got admitted in department of obstetrics and gynaecology, Gonosashthaya Nogor, Hospital during that period.
Results: It was found that incidence of grand multipara was 9.8%. Majority of the patient were 31-35 years old (51%). 71% patients never had antenatal check up. Caesarean section was high about 45%. Complications during labour were also high .Is was about 45%. Maternal morbidity was about16%. Perinatal mortality was about 9.5%.
Keywords: Pregnancy, Maternal and Foetal Outcome, Grand Multipara.
References
- Bai J, Wong FW, Bauman A. Mohsin M. Parity and pregnancy outcomes. Am J Obset Gynecol.2002 ; 186:274-8.
- MuniumS, Rahbar MH, Rizvi M, Mushtaq N. The effect of grand multiparity on pregnancy related complications: The Aga Khan University experience. J Pak Med Assoc. 2000; 50: 54-8.
- Seidman DS. Ammon Y, Roll D, Stevensaon DK Gale R. Grand multiparity: an obstetric or neonatal risk factor? Am J Obset Gynecol .199988 ; 158:1034-9.
- Samueloff A ,Mor–Yousef S, Seideman DS, Rabinowiz R , A ,Schenker JG Grand Multipara –a nationwide survey, Isr J Med Sci 1989;25: 625-9.
- Toohey JS, Keegan KA Jr, Morgan MA, Francics J Task S, deVeciana M. The “dangrrous multipara “ fact or fiction? Am J ObstetGynecol .1995; 172 :683-6
- Fayed HM ,Abid SF and Stervens B. Risk factors in extreme grand multiparity , Int J Gynecolobstet 1993 41 17- 22.
- Saadia Z ,Farrukh R , Naheed F, Maternal outcome in grand multiparous. Ann King Edard Med Coll. 2002; 8 :207-10.
- Azziz Karim s, MemonAM,Qadir N . Grand multiparity –A continuing problem in developing countries. Asia oceania J ObsetGynecol1988; 158:155-60.
- Samueloff A . Schimmel MS , Eidelman AL.Grand multiparity. Is it a perinatal perinatal risk? Clin perinatal. 1998;25: 529-38.
- Vehaskari A, Lahtinen J, Terho J Hazards of grand multiparity,: Ann chirGynaecol Fenn. 1968; 57(4):476-84.
- Maymon E ,Ghezzi F, Shoham- Vardi L, Hersgkowitz R , Franchi M , KatzMMazor M . Peripartum complications in grand multiparous women : para 6-9 versus para > or =10. : Eur J Obstet Gynaecol Reprod Biol. 1998 Oct ; 81(1):21-5.
- AL-Sibai MH. Rahman MS Rahhman J . Obstetric problems in the grand multipara : a clinical study of 1330 cases . J Obstet Gynaecol (Lahore) 1987:8(2):135-8.
- Azziz FA. Pregnancy and Labour of grand multiparous Sudanceswomen. Int J Gynaecolobset 1980 Sep- Oct;18(2):144-6.
- Evaldson GR. The grand multiparity in modern obstetrics .Gynecolobstet Invest .1990:30:217-30.
- Ozumba BC ,Igwegbe AO . The challenge of grandmultiparity in Nigerian obstetrics practice. Int J Gynaecol obstet. 1992;27: 259-64.
- Irvine LM Otigbah C, Crawfold and Satchell, Grand multiparity ;an obstetric problemnin Great Britain in the 90s? J ObsetGynecol1996;16:217.
- Ogedengbe OK ,Ogunmokun AA Grand multiparity in Lagos, Nigeria . Niger Postgrad Med J .2003 Dec:10 (4):216-9.
- Vedat- A Hasan –B, Islam –A .Rupture of uterus in labour. 1st J.M. Sci 1993-oct; 29(4):179-87.
Corresponding Author
Dr Arshad Jahan
Registrar, Gynae and Obs, Gonoshasthaya Samaj Vittik Medical College Hospital, Savar, Dhaka
DOI: https://dx.doi.org/10.18535/jmscr/v6i11.15
