Grand-multiparity is a serious risk factor in pregnancy and common in developing\ncountries. The objective was to compare the obstetric outcome of\ngrand-multiparous women with that of low parity in our center. The study\ncomprised of 150 grand-multiparous women (cases) and 150 multiparous\nwomen (para 2 - 4) in this index pregnancy as controls matched for age and\nadmitted for delivery. The mean age of the grand-multiparous women at delivery\nwas 37.0 �± 2.8 years. Grand-multiparity was significantly higher among\nwomen with only primary education (48.0% versus 44.7%), polygamous marriages\n(9.3% versus 3.3%) and Muslims (17.3% versus 6.7%). Pregnancy induced\nhypertension and primary postpartum hemorrhage were significantly\nmore often seen among grand-multiparous women than among the controls.\nThe mean packed cell volume before delivery in the grand-multiparous\nwomen was significantly lower (33.6% �± 2.7%) than in the multiparous group\n(35.2% �± 2.7%) (P-value = 0.000). Grand-multiparity with its associated complications\nstill occurs frequently in our environment. However, with adequate\nantenatal surveillance, optimal care during labour and contraceptive use, these\nproblems will be reduced.
Loading....