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Multiparity, perinatal morbidity and mortality
A Andrejevic1, S Cvetkovic, Z Vitosevic
1Gynecological Clinic, Faculty of Medicine, Pristina-Kosovska Mitrovica. doktoraleksa@yahoo.com
Grand multiparity, defined as six or more deliveries, significantly increases risks for newborns and mothers. This study highlights higher rates of low birth weight, lower Apgar scores, and increased perinatal mortality in grand multiparous women.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Public Health
Background:
- Multiparity presents significant medical and social challenges globally.
- Clinicians aim to identify and prevent perinatal morbidity and mortality causes.
Purpose of the Study:
- To investigate the impact of grand multiparity (≥6 deliveries) on perinatal morbidity and mortality.
- To analyze factors influencing newborn vitality in relation to parity.
Main Methods:
- A retrospective study of 12,532 deliveries at a Gynecological Clinic (1992-1993).
- Defined grand multiparity as six or more childbirths.
- Focused analysis on factors affecting newborn vitality.
Main Results:
- Grand multiparity is associated with lower birth weight and hypotrophic infants.
- Apgar scores decline with increasing parity; respiratory and CNS issues are more prevalent.
- Congenital anomalies, mother, and infant mortality rates are notably higher.
Conclusions:
- Grand multiparity poses elevated risks for both newborns and mothers.
- Increased perinatal morbidity and mortality are significant concerns.
- Pregnancy, delivery, and puerperium present heightened risks, potentially endangering maternal life.
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