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Extreme grandmultiparity: is it an obstetric risk factor?
Aruna S Kumari1, Padmanabhan Badrinath
1Department of Obstetrics and Gynaecology, Al-Mafraq Hospital, P.O. Box 2951, Abu Dhabi, United Arab Emirates. srinathk@emirates.net.ae
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|January 23, 2002
Summary
Extreme grandmultiparity (EGMP) did not increase adverse perinatal outcomes in women receiving modern care. This study found no significant differences in neonatal outcomes or cesarean rates for women with 10 or more births.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Perinatal Outcomes
Background:
- Extreme grandmultiparity (EGMP), defined as 10 or more pregnancies, has been historically associated with increased risks.
- Understanding the impact of EGMP on perinatal outcomes in contemporary settings with advanced medical care is crucial.
Purpose of the Study:
- To investigate the perinatal outcomes of women with extreme grandmultiparity (EGMP).
- To assess if EGMP is an independent risk factor for adverse perinatal outcomes in a setting with good socio-economic conditions and modern perinatal care.
Main Methods:
- A comparative study involving 1015 pregnant women with parity of 10 and above.
- Comparison groups included 2044 women with parity <5 and 1662 women with parity of 5-9.
- Data collected from deliveries at Al-Mafraq hospital, Abu Dhabi between 1992 and 1998.
Main Results:
- Women with EGMP showed increased incidence of gestational diabetes and macrosomia.
- A reduced incidence of preterm delivery and induction of labor was observed in the EGMP group.
- No significant differences were found in antepartum hemorrhage, cesarean section rates, or neonatal outcomes between groups.
Conclusions:
- Extreme grandmultiparity (EGMP) is not an independent risk factor for adverse perinatal outcomes.
- Modern perinatal care and good socio-economic conditions mitigate potential risks associated with EGMP.
- The study suggests that high parity itself may not be detrimental when optimal medical support is available.