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Related Experiment Videos

[Pregnancy and labor in multiparae].

J Krasnodebski1, M Rajda, U Kwiatkowska

  • 1Oddziału Ginekologiczno-Połozniczo-Septycznego Wojewódzkiego Szpitala Zespolonego, Bielsku-Białej.

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|January 1, 1992
PubMed
Summary
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Women with five or more births experienced more pregnancy complications, including premature rupture of membranes and infections. Their newborns also faced higher risks of stillbirth and low Apgar scores.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Public Health

Background:

  • High-order multiparity (five or more previous births) is associated with unique pregnancy risks.
  • Socioeconomic factors and prenatal care access may influence outcomes in multiparous women.
  • Understanding complications in grand multiparous women is crucial for improving maternal and infant health.

Purpose of the Study:

  • To analyze the course of pregnancy, labor, and puerperium in women undergoing their fifth or more birth.
  • To compare complication rates between high-order multiparous women and a control group of primigravidae and primiparae.
  • To identify specific risks and adverse outcomes associated with grand multiparity.

Main Methods:

  • Retrospective analysis of 53 women in labor for the fifth time or more.

Related Experiment Videos

  • Comparison with a control group of 96 primigravidae and primiparae.
  • Data collection on pregnancy termination, membrane rupture, placental expulsion, infections, and neonatal outcomes (stillbirth, Apgar score).

    • Main Results:

    • High-order multiparae were more frequently from lower socioeconomic classes and had less prenatal clinic attendance.
    • These women experienced higher rates of early pregnancy termination and premature rupture of membranes.
    • Incomplete placental expulsion and postpartum urinary tract infections were more common in the high-order multiparae group.
    • Newborns of high-order multiparae had a greater incidence of stillbirth and low Apgar scores.

    Conclusions:

    • Grand multiparity is linked to increased maternal complications and adverse neonatal outcomes.
    • Lower socioeconomic status and reduced prenatal care access are notable characteristics of this high-risk group.
    • Targeted interventions and enhanced monitoring are warranted for women with high-order parity to mitigate risks.