The site is secure. Blood pressure 120/80. Ajong AB, Agbor VN, Simo LP, Noubiap JJ, Njim T. Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes. Ann Punjab Med Coll. Advanced maternal age is also important to understand from the perspective of multigravida, when multiple pregnancies take place in the same uterus. Women who had multiparity (Para 2 to 4) were enrolled as a non-exposed group. Terms of Use. Central Statistical Agency (CSA). Alhainiah MH, Abdulljabbar HS, Bukhari YA. Ethiopia J Reprod Health. You can read the details below. Free access to premium services like Tuneln, Mubi and more. Close to two-thirds (63.1%) of the multiparous women and more than three-fourths (75.7%) of the grand multiparous women were housewives. 50. In this sense, "multi-" means "more than one," while "-para" refers to parity. Murphy. Yimer NB, Tenaw Z, Gedefaw A. Pregnancy outcomes in grand multiparous women: does parity matter? 2009;14(1):233238. Grand multiparous Saudi females have similar risks of maternal and neonatal complications compared to the other parity groups. World Health Organization. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. depressed deep tendon reflexes tachypnea bradycardia elevated blood glucose Click the card to flip Definition 1 / 50 The current study examines the outcome of delivery in 1700 women in their fifth or more delivery, as compared with two control groups: 622 primiparas and 735 multiparas (two to three previous deliveries). Recommend this site Jahrbuch Fr Wissenschaft Und Ethik. All other trademarks and copyrights are the property of their respective owners. doi:10.1371/journal.pone.0225060. Urinary tract infections during pregnancy, Chapter two maternal and child health care, Obesity in pregnancy by dr alka mukherjee dr apurva mukherjee nagpur m.s. This work is published and licensed by Dove Medical Press Limited. 22 chapters | doi:10.21276/obgyn.2019.5.2.8, 14. 2002;14(3):391403. 1999 Sep;181(3):669-74. doi: 10.1016/s0002-9378(99)70511-9. Clipboard, Search History, and several other advanced features are temporarily unavailable. This finding is similar to the study conducted in Mali33 and Tanzania.7 However, in another study, grand multiparity was not a risk factor for stillbirth the study was done in Nigeria.51 The possible explanation might be differences across studies related to the utilization of antenatal care services across countries.52,53 The other explanation is that most pregnant women arrived late having an already intrauterine death or with hypoxic babies during delivery.15, Regarding birth weight, the risk of macrosomia was significantly higher in grand multiparity than multiparity. HYPOTHESIS: Obstetrical complication are more in grand multiparae than the low parity women. - Definition, Procedure, Complications & Side Effects, Psychological Research & Experimental Design, All Teacher Certification Test Prep Courses, Multigravida of Advanced Maternal Age Risks, Inorganic Chemistry in Anatomy and Physiology: Help and Review, Organic Molecules in Anatomy and Physiology: Help and Review, Biochemistry in Anatomy and Physiology: Help and Review, Basic Anatomy and Cell Biology: Help and Review, The Nervous System at the Cellular Level: Help and Review, Gross Anatomy of Muscular System: Help and Review, Meiosis I Stages: Prophase I, Metaphase I, Anaphase I & Telophase I, Meiosis II: Definition, Stages & Comparison to Meiosis I, Male Reproductive System: Functions, Organs & Anatomy, Male Reproductive System: Accessory Gland Functions, Testicular Anatomy: Structure, Terms & Diagrams, Male Reproductive System: External Anatomy, Spermatogenesis: How the Reproductive System Produces Sperm, Sperm's Journey from the Testes to Urethral Orifice, The HPG Axis: Hormones of Male Reproduction, Female Reproductive System: Internal Anatomy, The Uterus and Uterine Wall: Structure and Parts, External Anatomy of the Female Reproductive System, Oogenesis: How the Female Reproductive System Produces Eggs, HPG Axis: Hormonal Control of the Ovarian Cycle, Phases of The Ovarian Cycle: Overview from Puberty to Menopause, The Uterine Cycle: Phases and Endometrial Changes, The Female Reproductive Axis: Coordination of the Brain, Ovaries & Uterus, Ovulation to Implantation: Oocyte's Path through Uterine Tubes, Food Aversions During Pregnancy: Definition & Treatment, What Is the Uterine Cavity? There was a tendency to an increased rate of gestational hypertension, although the incidence of preeclampsia and chronic hypertension was comparable in the 2 groups. It is important for grand multiparas and great-grand multiparas to understand the increased risks of poor maternal and fetal outcomes at this level in order to ensure the personal health of both mother and child. Grand Multiparity: obstetric outcome in comparison with multiparous women in a developing country. 2017;17(1):310. doi:10.1186/s12884-017-1508-0, 15. 1997 Sep;76(8):755-9. doi: 10.3109/00016349709024342. 2nd ed. A comparative study. Therefore, we estimated relative risk using a Generalized Linear Model (GLM) with an identity log and binomial link function (log-binomial). 4. doi:10.1111/j.0730-7659.2005.00344.x, 4. In the same regard, a primipara woman who has experienced a full term pregnancy but has given birth to triplets would be described as "gravidity 1 parity 1" because there was a single pregnancy (gravidity) that lasted for more than 20 weeks (parity), regardless of how many children were birthed. 29. Presentations and positions are to be checked Undue delay in progress should be viewed with concern. That is why it was selected these hospitals as the study area. Family welfare services; methods, counseling. UNICEF. Grand multiparity as a predictor of adverse pregnancy outcome among women who delivered at a tertiary hospital in Northern Tanzania. Advanced age might play a major role on pregnancy outcomes in GMP. 24. The mean ( standard deviation (SD) age was 32.8 3.8 among the grand multipara vs 27.2 3.8 years among multiparity, p < 0.001). Terms of Use. 21. BJOG. Written informed consent was obtained from each study participant, before data collection procedures. Entered data was exported to STATA 14 version software for analysis. In the present study, we found that the cumulative incidence of adverse perinatal outcomes was significantly higher in grand multiparous women than multiparous women. Pulse rate 80 bpm and regular. Disclaimer. [Ethiopia] and ICF, Ethiopia Demographic and Health Survey 2016. In order to simplify the complicated information that must be understood, specific medical terminologies such as "multipara," "grand multipara," and "multigravida" are used to describe obstetrical history. Int J Womens Health. this site will not function whilst javascript is disabled. 2014;8(3):706708. They have a Bachelor's in Air Traffic Management from Embry-Riddle Aeronautical University and minored in Aviation Safety and Homeland Security. 2018;143:602603. Double data was entered using EpiData version 3.02 software. A woman who is 35 years of age or older at the time if delivery is considered to be of advanced maternal age, meaning that risks such as placenta previa, uterine atony, and abnormal fetal presentation can become more highly associated with multipara. It is bordered on the south by the Oromia region with the Gedeo Zone, on the west by the Wolaita Zone, and the north and east by the Oromia region. WebA nurse has administered Methergine (methylergonovine) 0.2 mg po to a grand multipara who delivered vaginally 30 minutes earlier. Int J Gynecol Obstet. Maternal and neonatal outcomes of grand multiparas over two decades in Mali. 47. However, a multigravida woman may not be considered multipara if one or more pregnancies did not last beyond 20 weeks, or if one pregnancy resulted in the birth of more than one child. When a woman experiences multiple pregnancies over time, she is likely to be older with each subsequent occurrence and therefore the risk additional or unexpected complications while carrying becomes increased. Privacy Policy 40. Indian J Public Health Res Dev. 1996-2021 MedicineNet, Inc. All rights reserved. Contrary to this study, a study done on knowledge and associated factors of postnatal mothers toward essential newborn care practices found that those postnatal mothers who were primipara were almost two-fold more likely to have poor knowledge compared to grand-multipara (Berhan & Gulema, 2018). Pak J Med Health Sci. 2020;20(1):19. We collected 3656 J Pregnancy Child Health. A woman who has experienced five or more viable pregnancies is known as a grand multipara and a woman with ten or more viable pregnancies lasting beyond 20 weeks is a great-grand multipara. [2]The International Safe Motherhood Conference which was convened in Nairobi, Kenya, in 1987, to address the appalling high maternal death rates in developing countries, identified grand multiparity as a definite risk, with a high score of 2 out of a maximum of 3, which depends on their potential impact on the outcome of pregnancy. Pulse rate 80 bpm and regular. doi:10.1081/QEN-120001878, 49. Enrolling in a course lets you earn progress by passing quizzes and exams. J Adv Med Medl Res. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Caesarean section rate was 30.0% in our study. 2017;7(4):438. doi:10.4172/2161-0932.1000438, 23. 2015;136(4):819822. In the final model, multivariable Poisson regression analysis was performed to investigate the risk factors between grand multiparity and concerned adverse perinatal outcomes. National Library of Medicine Accessibility Categorical data were compared using the Chi-square test, and an independent sample t-test was applied for the comparison of the mean difference of continuous variables between both groups. 620 S. Main, Suite 100 Keller, Texas 76248. Acta Obstet Gynecol Scand. WebGrand multiparity was higher among women with primary level of education (48.0% versus 44.7%), secondary education (42.0% versus 32.0%) and no formal education (4.7% versus 2.0%) than their control. WHO report. LOW MULTIPARAE: Low multiparae is woman who has delivered less than five (para 1-4). The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications (malpresentation, meconium-stained liquor, placenta previa and a low Apgar score) compared with other multiparous women who delivered at Muhimbili National Hospital. Both groups were comparable with regard to gestational age at delivery. Al-Obaidly S, Khaldi HM, Emad N, Al-Ibrahim A, Bayo A. 2022 The Author(s). There is limited information that investigates the effect of grand multiparity on perinatal outcomes in a prospective follow-up design in Ethiopia. Association WM. This condition prevents a proper birth and can be harmful to the mother and her child. 3. See additional information. The association of grand multiparity and poor pregnancy outcome has not been consistent for decades. Craney TA, Surles JG. Create an account to start this course today. 22. Clin Exp Obstet Gynecol. Javascript is currently disabled in your browser. From its roots, "multi-" means "more than one" and "para" refers to the number of births. The first sign of pregnancy is most often: MedTerms medical dictionary is the medical terminology for MedicineNet.com. doi:10.1093/bmb/ldg015. Available from:. 10. and transmitted securely. Further, we recommend that the researchers conduct studies about the effect as early as start to follow up grand multigravida on the adverse perinatal outcomes. 2017;7(7):707. doi:10.4236/ojog.2017.77071, 2. Volume 2022:14 Pages 363372, Editor who approved publication: For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms. 36. Addah A, Ikobho E. A comparison of the pregnancy and labour outcomes between nulliparous and grand multiparous pregnancies in the Niger Delta. Grand Prairie, Texas 75052. Data were cleaned for missing values and inconsistencies. Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications (malpresentation, In addition, those women with grand multiparity who delivered at another facility (outside the included hospitals) were also excluded as it was difficult to know the perinatal outcomes. Statistical Methods for Rates and Proportions. Bookshelf Slightly more than two-thirds (67.5%) of the multiparous women and (49.6%) of the grand multiparous women were urban dwellers. A modified Poisson regression model with robust standard errors was applied to estimate the adjusted risk ratio and its 95% CI of the risk factors for adverse perinatal outcomes to examine the association of the multi-parities with the adverse birth outcome. For each hospital, the sample was allocated an appropriate sample size by using the probability proportional to sample size considering hospital clients follow-up from last years delivery admission reports. 2014;14(1):90. doi:10.1186/1471-2393-14-90, 39. 2019;5(2):103106. 2005;32(1):4559. Niger J Clin Pract. Is it a perinatal risk? 45. Watterberg KL, Aucott S, Benitz WE. All rights reserved. [1],[2]High parity is associated with serious consequences to the fetus, the mother, the family, and society. A woman who is considered to be a multipara has experienced two or more viable pregnancies. By: Modhi A Alhussinan. A multigravida is a woman who has experienced two or more pregnancies, regardless of length or outcome. A multipara is a woman who has experienced two or more viable pregnancies that have resulted in potentially viable offspring. By accepting, you agree to the updated privacy policy. Med Arch. 2015;27(4):244. doi:10.5455/msm.2015.27.244-247. 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Yimer NB, Tenaw Z, Gedefaw A. pregnancy outcomes in GMP resulted in potentially viable.... Factors between grand multiparity on perinatal outcomes services like Tuneln, Mubi and.. Number of births to STATA 14 version software for analysis offline and on the go association of grand over., Al-Ibrahim a, Bayo a should be viewed with concern of births Gedefaw A. pregnancy in. Multiparous women: does parity matter is the medical terminology for MedicineNet.com gestational age at delivery `` ''... The risk factors between grand multiparity and concerned adverse perinatal outcomes 0.2 mg po to a multipara! The pregnancy and labour outcomes between nulliparous and grand multiparous Saudi females have similar risks of maternal and neonatal of...