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Grand multipara.

¹Department of Gynecology and Obstetrics, King Faisal Military Hospital, Khamis Mushyat, Saudi-Arabia.

Zentralblatt Fur Gynakologie

|January 1, 1989

Summary

This summary is machine-generated.

Grand multiparity (seven or more deliveries) did not show increased pregnancy complications compared to lower parity. However, preterm birth rates were higher in women with fewer deliveries (up to six).

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Area of Science:

Obstetrics and Gynecology
Maternal-Fetal Medicine
Reproductive Health

Background:

Grand multiparity, defined as seven or more deliveries, is traditionally associated with increased risks of pregnancy and delivery complications.
Previous studies have suggested a higher incidence of adverse outcomes in women with grand multiparity.

Purpose of the Study:

To prospectively investigate the association between grand multiparity and pregnancy, delivery, and puerperium complications.
To compare complication rates between women with up to six deliveries and those with seven or more deliveries.

Main Methods:

Prospective observational study design.
Inclusion of women undergoing deliveries, categorized by the number of previous deliveries (≤6 vs. ≥7).
Collection and analysis of data on pregnancy, delivery, and puerperium complications.

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Main Results:

No significant difference in the overall incidence of complications was observed between women with up to six deliveries and those with seven or more deliveries.
A significantly higher incidence of preterm deliveries was found in the group with up to six deliveries.
Specific complications typically associated with grand multiparity were not found to be increased in this cohort.

Conclusions:

Grand multiparity (≥7 deliveries) does not appear to be associated with an increased incidence of general pregnancy, delivery, or puerperium complications compared to women with fewer deliveries (≤6).
The finding of a higher preterm delivery rate in women with fewer deliveries warrants further investigation and may challenge traditional clinical assumptions.