[Pregnancy and labor in 335 cases of high multiparity]

It had been accomplished an investigation upon the pregnancy and the birth of 335 women in labour with high (> or = 5) parity (grandmultimaras = GM), including 11 736 labour, taking place in the Clinic of Obstetrics of Pleven Medical University. Controllable group had been formed out of a 655 women in labour with a parity from 1 to 4. It had been used a questionnaire method. Higher in the main group was the frequency of a hypertension, placental pathology (pl. praevia, abruptio et retention placentae) and that of a transverse and oblique presentation of the foetus. Lower in GM was the frequency of the neonates with a very low birth weight < 1500 g (VLBW), the frequency of induction and stimulation of the labour act, and of episiotomy and ruptures of the perineum. We come to the conclusion about the low level of obstetric risk with GM when there was an accessible and a competent obstetric assistance.