Grandmultiparity in Lagos, Nigeria
1Unit of Reproductive Endocrinology and Fertility Regulation, Department of Obstetrics and Gynaecology, College of Medicine of the University of Lagos, Lagos, Nigeria.
The Nigerian Postgraduate Medical Journal
|March 27, 2004
Summary
Grandmultiparity, defined as high parity, occurred in 4.11% of deliveries. Unbooked grandmultiparous patients faced higher complication risks, including C-sections, though maternal mortality was similar to the general obstetric population.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Perinatal Outcomes
Background:
- Grandmultiparity (high parity) is associated with increased obstetric risks.
- Understanding the characteristics and outcomes of grandmultiparous pregnancies is crucial for improving maternal and infant care.
- Previous studies have highlighted potential complications in high-parity women.
Purpose of the Study:
- To analyze the incidence, characteristics, and outcomes of grandmultiparous patients at a tertiary hospital.
- To compare complication rates between booked and unbooked grandmultiparous patients.
- To assess maternal and perinatal mortality associated with grandmultiparity.
Main Methods:
- Retrospective analysis of case-notes and records of grandmultiparous patients.
- Data collected from Lagos University Teaching Hospital between January 1994 and December 1996.
- Inclusion criteria: patients with high parity (defined by study context).
Main Results:
- Grandmultiparity incidence was 4.11%; mean age 33.26 years, mean parity 5.57.
- Unbooked patients (57.78%) had higher rates of hypertension, disproportion, and Caesarean sections.
- Common antenatal issues included anemia and malpresentation; intrapartum complications were hypertension and disproportion.
- Twin pregnancy and placenta previa were more frequent. Perinatal mortality rate was 169/1000 deliveries.
Conclusions:
- Grandmultiparity presents specific obstetric challenges, particularly for unbooked patients.
- While certain complications are elevated, maternal mortality in this cohort was not significantly higher than the general obstetric population.
- Enhanced antenatal care and booking are vital for improving outcomes in grandmultiparous pregnancies.
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