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Related Experiment Videos

The grand multipara

G A Goldman1, B Kaplan, A Neri

  • 1Department of Obstetrics and Gynecology, Beilinson Medical Center, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Israel.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|August 1, 1995
PubMed
Summary
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Grandmultiparity, defined as five or more deliveries, is no longer a high-risk obstetric category with proper perinatal care. Advanced maternal age in grandmultiparas is linked to antenatal disorders, but outcomes are comparable to lower-parity groups.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Reproductive Health

Background:

  • Grandmultiparity (GMP) was historically viewed as an obstetric complication.
  • Recent evidence suggests improved outcomes with adequate perinatal care.
  • The risk associated with high parity requires re-evaluation in contemporary obstetrics.

Purpose of the Study:

  • To evaluate the management of grandmultiparity in modern obstetrics.
  • To determine if grandmultiparas remain a high-risk obstetric group.
  • To compare delivery outcomes across different parity levels.

Main Methods:

  • Retrospective cohort study.
  • Comparison of 1700 grandmultiparas (≥5 deliveries) with control groups: 622 primiparas (0 deliveries) and 735 multiparas (2-3 deliveries).

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  • Analysis of antenatal disorders and delivery outcomes, with all participants receiving free prenatal care.

    • Main Results:

    • Grandmultiparas were older and had higher rates of antenatal medical disorders (diabetes, hypertension).
    • No significant differences observed in preterm birth, post-term birth, SGA infants, polyhydramnios, oligohydramnios, perinatal death, fetal distress, multiple births, placenta previa, abruptio placentae, or cord prolapse.
    • Macrosomia was more frequent in grandmultiparas and multiparas compared to nulliparas.

    Conclusions:

    • Good perinatal care mitigates risks associated with grandmultiparity.
    • Grandmultiparity is not necessarily a high-risk obstetric category with appropriate medical support.
    • Maternal age and associated comorbidities require attention in grandmultiparas, but delivery outcomes are favorable with optimal care.