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Cesarean section in grandmultiparas

F A Ali1, B Spiewankiewicz

  • 1I Department of Obstetric & Gynaecology, II Faculty of Medicine, Medical Academy, Warsaw, Poland.

Materia Medica Polona. Polish Journal of Medicine and Pharmacy
|July 1, 1996
PubMed
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Grandmultiparity, defined as delivering six or more babies, is common in Libya. These women have higher Cesarean section rates, indicating a need for family planning programs.

Area of Science:

  • Obstetrics and Gynecology
  • Maternal Health
  • Public Health

Background:

  • Grandmultiparity is associated with increased maternal and neonatal morbidity.
  • Grandmultiparity rates remain high in Libya compared to European countries.

Purpose of the Study:

  • To investigate Cesarean section rates and indications in grandmultiparous women in Benghazi, Libya.
  • To assess the implications of grandmultiparity on obstetric interventions.

Main Methods:

  • Retrospective review of 287 Cesarean section cases in grandmultiparous women.
  • Data collected from the University Hospital in Benghazi, Libya, during 1993.

Main Results:

  • The incidence of Cesarean section among grandmultiparous women was 7.9%.

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  • Leading indications included fetopelvic disproportion (26.5%), previous Cesarean sections (19.5%), and malpresentation (16%).
  • Perinatal mortality rate was 17 per 1000 live births.

    • Conclusions:

    • Grandmultiparous women undergo Cesarean sections more frequently, particularly for primary and emergency procedures.
    • Effective family planning programs are essential for this population group.