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Great grand multiparity: is it a risk?
1Department of Obstetrics and Gynaecology, Jordan University of Science and Technology.
Summary
Women with great grand parity (10+ births) face increased risks of severe pre-eclampsia, fetal death, and macrosomia compared to lower parity women. These complications may lead to a higher likelihood of operative delivery.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Reproductive Health
Background:
- High parity, defined as 10 or more deliveries, is uncommon in modern obstetrics.
- Understanding the risks associated with great grand multiparity is crucial for optimizing maternal and fetal outcomes.
Purpose of the Study:
- To compare antenatal and intrapartum complications in women of great grand parity (10+ births) versus women of lower parity (2-5 births).
Main Methods:
- Retrospective review of medical records for 154 women with great grand parity and 308 women with lower parity.
- Comparison of antepartum and intrapartum complication rates between the two groups.
- Data collected from deliveries between April 16, 1994, and January 15, 1995.
Main Results:
- Great grand multiparous women had a higher incidence of pre-eclampsia (7.1% vs. 2.6%) and intrauterine fetal death (5.2% vs. 1.3%).
- Higher rates of macrosomia (7% vs. 2%) and operative delivery (20.6% vs. 11.4%) were observed in the great grand multipara group.
- No significant differences were found in rates of diabetes mellitus, chronic hypertension, preterm labor, placental abruption, placenta previa, malpresentation, or postpartum hemorrhage.
Conclusions:
- Great grand multiparity is associated with an increased risk of severe pre-eclampsia, intrauterine fetal death, and macrosomia.
- These complications contribute to a higher rate of operative delivery in women with high parity.
- Increased vigilance and tailored management are warranted for great grand multiparous women due to associated maternal and fetal risks.