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Does grand multiparity affect fetal outcome?

D S Seidman, R Gale, P E Slater

    International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
    |February 1, 1987
    PubMed
    Summary
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    Grandmultiparas, or women with many previous births, did not face higher risks for low birthweight. However, these women did show increased stillbirth rates in Jerusalem deliveries.

    Area of Science:

    • Obstetrics and Gynecology
    • Perinatal Epidemiology
    • Reproductive Health

    Background:

    • Birth order and parity are significant factors influencing pregnancy outcomes.
    • Previous studies have yielded mixed results regarding the risks associated with high parity.
    • Understanding these risks is crucial for maternal and infant health initiatives.

    Purpose of the Study:

    • To investigate the association between grandmultiparity and rates of low birthweight and stillbirth.
    • To compare findings from longitudinal and cross-sectional data analyses.
    • To assess these risks within a specific urban population in Jerusalem.

    Main Methods:

    • Analysis of 16,647 Jerusalem deliveries, examining birth order and parity.
    • Inclusion of 657 complete sibships (7+ children) for detailed analysis.
    Keywords:
    AsiaBiologyBirth WeightBody WeightCross Sectional AnalysisData CollectionDemographic FactorsDeveloped CountriesDeveloping CountriesFertilityFertility MeasurementsFetal Death--determinantsIsraelLongitudinal StudiesLow Birth Weight--determinantsMacroeconomic FactorsMediterranean CountriesMortalityMultiparityParityPhysiologyPopulationPopulation DynamicsPrimiparityResearch MethodologySocioeconomic FactorsSocioeconomic StatusStudiesWestern Asia

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  • Comparison of longitudinal data with cross-sectional data for robustness.

    • Main Results:

    • Grandmultiparas were not found to be at an increased risk for low birthweight.
    • A higher frequency of stillbirths was observed among grandmultiparas.
    • Findings were consistent across both cross-sectional and longitudinal study designs.

    Conclusions:

    • High parity (grandmultiparity) is not associated with an increased risk of low birthweight.
    • Grandmultiparity is linked to a higher incidence of stillbirths.
    • These findings highlight the need for targeted prenatal care for high-parity pregnancies.