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Volume 2005, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Objective: To study the obstetric performance and neonatal outcome of patients of extreme multiparity, Para 10 and more, compared to control group of Para 2 to 4.

Study Design: It is a retrospective comparative study. Data were collected from Medical Records ofpatients during the period from January-December 2000. The total number of deliveries during that period was 10,999. 240 patients records were reviewed, 120 records in each group.

Result: The incidence of great-grand multiparity was 1.09%. The incidence of lack of perinatal care among great grand multipara was statistically significant. However; there are no differences in the perinatal morbidity and mortality; also there was no difference in the rate of instrumental delivery and mal-presentation in the two groups. The duration of pregnancy is similar in the two groups. There was no difference in incidence of antepartum hemorrhage, rate of caesarean section rate. However; the only statically significant difference in the two groups was the increased incidence of large babies (macrosomia).

Conclusion: This study showed that extreme grand multiparity carry the added risk of macrosomia (> 4000mg), this was not reflected on any adverse perinatal outcome. However, the number of patients in this study is limited and it is difficult to draw firm conclusion.

© 2005 Ahmed, Kenyab, Saleh, Azzam, Almohandi, licensee Bloomsbury Qatar Foundation Journals.
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/content/journals/10.5339/qmj.2005.1.12
2005-06-01
2024-04-24
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References

  1. Toohey Keegan KA,, Morgan MA, Francis J, Tasks S, de Veciana M. The “dangerous multipara”: Fact or fiction? Am J Obstet Gynecol. 1995; 172::683–686.
     [Google Scholar]
  2. Fayed HM, Abid SF, Stevens B. Risk factors in extreme grand multiparity. Int J Gynecol Obstet. 1993; 41::17–22.
     [Google Scholar]
  3. Brunskill AJ, Rossing MA, Connell FA, Doling J. Anetecedents of Macrosomia. Pediatric perinatal epidemiology. 1991; 5::395.
     [Google Scholar]
  4. Kjer JJ. Grandmultipara. Zentralbl Gynekol. 1989; III::1503.
     [Google Scholar]
  5. Kirs DS, Dorchester W, Freeman RK. Advanced maternal age: The mature gravida. Am J Obstet Gynecol. 1985; 152::7–12.
     [Google Scholar]
  6. Kiely JL, Paneth N, Susser M. An Assessment of the effects of maternal age and parity indifferent component of perinatal mortality. Am J epidimiol. 1986; 123::444–454.
     [Google Scholar]
  7. Tanbo TG, Bungum L. The grandmultipara. Maternal and Neonatal Complications. Acta Obstet Gynecol Scand. 1987; 66::53–56.
     [Google Scholar]
  8. Seidman DS, Armon Y, Roll D, Stevenson DK, Gale R. Grandmultiparity: An obstetric or neonatal risk? Am J Obstet Gynecol. 1988; 158::1034–1039.
     [Google Scholar]
  9. Eidelman Al, Kamar R, Schimmel MS, Baron E. The grandmultipara: Is she still a risk? Am J Obstet Gynecol. 1988; 158::389–392.
     [Google Scholar]
  10. Scharfman E, Silvestein LM. The grandmultipar. Am J Obstet Gynecol. 1962; 84::1442–1446.
     [Google Scholar]
  11. Samuel O, Mor A, Yosef S, Seidman DS, Rabinowitz R, Simon A, Schenkev JG. Grandmultiparity: A nationwide survey. Int Sr J Med Sci. 1989; 25::625–629.
     [Google Scholar]
  12. Lacy WN, Miller S, Wine gar A, Peterson PQ. Macrosomia: Maternal characteristics and infant complications. Obstet Gynecol. 1985; 66::158.
     [Google Scholar]
  13. Es RW. Pater son CM. Saunders NJ. Risk factors for major obstetric hemorrhage. Eur I Obstet Gynecol Reprod Biol. 1993; 48::15.
     [Google Scholar]
  14. r^mb KR, Gregory K, Shaw K. The outcome of macrosomic infants weighing at least 4500 grams: Los Angeles County+ University of Southern California experience. Obstet Gynecol. 1995; 85::558.
     [Google Scholar]
  15. Heija AT, Ghalabi HEL. Great grandmultiparity; Is it a risk? Int I gynecol Obstet. 1997; 59::213–216.
     [Google Scholar]
  16. Fayed HM, Abid SF, Steven SB. Risk factors in extreme grandmultiparity. Int J Gynecol Obstet. 1993; 41::17–22.
     [Google Scholar]
  17. Eidelman Al, Kamar R, Schimmel MS, Baron E. The grandmultipara: Is she still a risk? Am J Obstet Gynecol. 1988; 158::389–392.
     [Google Scholar]
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  • Article Type: Research Article

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