Labor in the Grand Multipara

Lyrenäs, Sven

doi:10.1159/000049403

Cited by 20 publications

(15 citation statements)

References 20 publications

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“…This connoted those women who did not have any antenatal visits, experienced delivery complications that were 1.8 times more than those who had four or more antenatal visits. Therefore, this finding concurs with the finding of demographic risk factors for obstetric complications such as parity and antenatal visits [29–31]. …”

Section: Discussionsupporting

confidence: 90%

Incidence of Obstetric and Foetal Complications during Labor and Delivery at a Community Health Centre, Midwives Obstetric Unit of Durban, South Africa

Hoque¹

2011

ISRN Obstetrics and Gynecology

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The objectives of this retrospective cohort study were to estimate the incidence of obstetric complications during labor and delivery and their demographic predictors. A total of 2706 pregnant women were consecutively admitted to a midwife obstetric unit with labor pain between January and December 2007 constituted the sample. Among them 16% were diagnosed with obstetrical and foetal complications. The most frequently observed foetal and obstetric complications were foetal distress (35.5/1000) and poor progress of labor (28.3/1000), respectively. Primigravid and grandmultiparity women were 12 (OR = 11.89) and 5 (OR = 4.575) times, respectively, more likely to have complications during labor and delivery. Women without antenatal care had doubled (OR = 1.815, 95% CI, 1.310; 2.515) the chance of having complications. Mothers age <20 years was protective (OR = 0.579, 95% CI, 0.348; 0.963) of complications during delivery compared to women who were ≥35 years. National and local policies and intervention programmes must address the need of the risk groups of pregnant women during labor and delivery.

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Section: Discussionsupporting

confidence: 90%

Incidence of Obstetric and Foetal Complications during Labor and Delivery at a Community Health Centre, Midwives Obstetric Unit of Durban, South Africa

Hoque¹

2011

ISRN Obstetrics and Gynecology

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“…This fact also supported by number of other studies [29][30][31][32][33][34][35]. On the contrary, there are finding that showed no difference between the two groups [2,9].…”

Section: Discussionsupporting

confidence: 73%

Grand Multiparity and Pregnancy Related Complications among Women Who Gave Birth at Jimma University Specialized Hospital, Jimma, Southwest Ethiopia

Aragaw¹,

Mahtemsilllasie²,

Jarso³

2017

Gynecol Obstet

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Introduction: The term 'Grand-multiparity' was introduced by Solomon (1934), who called it the "dangerous multipara" [1]. Since then grand multiparity has been considered as a risk factor for both mother and the fetus [1][2][3][4]. The International Federation of Gynecology and Obstetrics define grand multiparity as delivery of the fifth or more newborn and in this study grand multiparity is defined when a pregnant woman have five or more births above the gestational age of 28 weeks [2]. The objective of this study is to compare maternal and perinatal outcome in grand multiparity and low parity. In developing countries grand multiparity is very common while in developed countries rare. Methods and materials:Prospective cross sectional comparative study was done in Jimma University specialized Hospital in 2015. Data was collected from119 grand multiparous (parity >= 5) and 238 low parity (parity2-4) women who gave birth in the hospital and data were analyzed by using statically package social science (spss) 20.3. p-value<0.05 considered significant.Result: There were 357 parous women participated in the study, among then 125 were grand multiparous making the incidence 8%. Grand multiparty was associated with anemia (3.5; 1.5-8.4), nonreassuring fetal condition intraparum (3.2; 1.3-8.0) and perinatal mortality (5; 1.7-7.4). Conclusion:Grand multiparty was associated both maternal and perinatal mortality and morbidity. Limiting parity might decrease both maternal and perinatal mortality and both at community and health facility family planning awareness should be made.

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“…Grand multi-parity is a major public health concern which has been associated with higher risk of adverse intrapartum complications compared with women of lesser parity especially among developing countries. The term "grand multipara" was introduced by Solomon in 1934, he called them the "the dangerous multiparas" [18]. Parity was not found to be significant in this study as a factor associated with severe maternal outcomes.…”

Section: Factors Associated With Severe Maternal Outcomescontrasting

confidence: 51%

Factors Associated With Severe Maternal Outcomes at a Regional Referral Hospital in South-Western Uganda: A Case-Control Study

2020

IJWHC

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Background: The Sustainable Development Goal target is to reduce the global maternal mortality ratio to less than 70 per 100,000 live births by 2030. Maternal morbidity and mortality in sub-Saharan Africa remains high despite global efforts to reduce it. Severe maternal outcome studies offer a panoramic assessment of obstetric care. Objective: The study aimed at determining the factors associated with severe maternal outcomes among women admitted at the obstetrics and gynecology ward of Mbarara Regional Referral Hospital. Methods: In an unmatched case control (1:2) study conducted between February and May 2018, 162 pregnant women admitted on the obstetrics and gynecology ward of Mbarara Regional Referral Hospital, or who had delivered within the past 42 days were recruited. Near miss cases were defined based on the WHO criteria. Near-miss cases and events, maternal deaths and their causes were retrospectively reviewed. Three categories of risk factors (socio-demographic, obstetric and health system) were examined. P-values <0.05 were considered statistically significant. A multivariable logistic regression model was used to identify factors associated with severe maternal outcomes. All analyses were performed using Stata software (Version 12.0, StataCorp, and College Station, TX). Results: In the four-month period there were 2301 live births, there were 45 near miss cases and 9 maternal deaths resulting in a severe maternal outcome ratio of 23.5/1000 live births, maternal near miss ratio of 19.6/1,000 live births, maternal near-miss mortality ratio of 5 and mortality index of 16.7%. Severe obstetric hemorrhage (33%), ruptured uterus (27.8%), sepsis or severe systemic infection (16.7%) and hypertensive disorders in pregnancy (16.7%) were the direct causes of severe maternal outcomes. About seventy-seven percent (77.8%) of the mothers with severe maternal outcomes were referred in from the peripheral health facilities, with a 4-time risk increased risk of a severe maternal outcome (aOR, 4.00; 95 % CI, 1.84-6.66, p-<0.001). Conclusion: Of the severe maternal outcomes, direct causes were the most prevalent and most of which are preventable. Being referred in was significantly associated with severe maternal outcomes. The maternal near miss indicators indicate need for improved quality.

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Labor in the Grand Multipara

Cited by 20 publications

References 20 publications

Incidence of Obstetric and Foetal Complications during Labor and Delivery at a Community Health Centre, Midwives Obstetric Unit of Durban, South Africa

Incidence of Obstetric and Foetal Complications during Labor and Delivery at a Community Health Centre, Midwives Obstetric Unit of Durban, South Africa

Grand Multiparity and Pregnancy Related Complications among Women Who Gave Birth at Jimma University Specialized Hospital, Jimma, Southwest Ethiopia

Factors Associated With Severe Maternal Outcomes at a Regional Referral Hospital in South-Western Uganda: A Case-Control Study

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