Grand multiparity: a study of 168 cases

Area of Science:

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

Background:

• Grand multiparity (four or more pregnancies) is a demographic factor with debated implications for maternal and fetal outcomes.
• Previous research on the risks associated with grand multiparity has yielded conflicting results.
• Understanding the specific risks in different populations is crucial for effective prenatal care.

Purpose of the Study:

• To retrospectively evaluate grand multiparity as a risk factor for pregnancy, delivery, and fetal well-being.
• To assess the incidence of gestational complications in women with grand multiparity compared to those with fewer pregnancies.
• To analyze delivery modalities and perinatal mortality rates in relation to parity.

Main Methods:

• Retrospective study conducted from 1981 to 1989 at the Gynaecology and Obstetrics Institute of Turin University and St. Anna Hospital.
• Inclusion of 168 women with grand parity (≥4 pregnancies) and 5320 women with parity <4.
• Analysis of pregnancy course, delivery, fetal status, gestational complications, delivery modality, and perinatal mortality using registry data and clinical histories.

Main Results:

• The study analyzed data from 168 women with grand multiparity and 5320 women with lower parity.
• Incidence of gestational complications was evaluated in the multiparous group.
• Delivery modality and perinatal mortality were assessed across 72,907 births.

Conclusions:

• Grand multiparity did not appear to be a significant risk factor for adverse pregnancy or delivery outcomes in this cohort.
• Further research may be warranted to explore nuances of grand multiparity in diverse populations.
• The findings suggest that women with grand multiparity may not inherently face higher risks during pregnancy and childbirth.