Obstetric and Neonatal Outcomes in Grand Multiparity

Roman, Horace; Robillard, Pierre‐Yves; Verspyck, É.; Hulsey, Thomas C.; Marpeau, L.; Barau, G.

doi:10.1097/01.aog.0000127426.95464.85

Cited by 71 publications

(81 citation statements)

References 19 publications

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“…While many antenatal and intrapartum complications like diabetes (overt and gestational), anemia, preterm delivery, malpresentation at term, postpartum hemorrhage, macrosomia showed a significant linear increase with increasing parity as indicated by v 2 test for linear trend (Fig. 1) as also reported by many other studies [3][4][5][6][7][8][9]; there were some, like the need for labor augmentation with its attendant risks specially in women of higher parity and soft tissue injuries, which showed a significantly declining trend with increasing parity as indicated by v 2 test for linear trend (Fig. 2).…”

Section: Discussionsupporting

confidence: 76%

“…Most of the studies in the literature have compared the outcome between women of low parity (parity 2-4) and grand multiparty (parity [5][6][7][8][9], but only few studies have compared the outcome between the three groups as defined by International Federation of Gynecology and Obstetrics: lower parity (parity 2-4), grand multiparity (parity [5][6][7][8][9] and great grand multiparity (parity 10 and above).…”

Section: Introductionmentioning

confidence: 99%

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Trends in the Occurrence of Antenatal and Perinatal Complications with Increasing Parity

Vaswani

Sabharwal

2013

J Obstet Gynecol India

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Section: Discussionsupporting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Trends in the Occurrence of Antenatal and Perinatal Complications with Increasing Parity

Vaswani

Sabharwal

2013

J Obstet Gynecol India

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“…A literatura demonstra que os extremos do estado nutricional antropométrico podem trazer riscos adicionais à gestação [18][19][20][21] . Conhecer os detalhes do consumo dietético aprimora a qualidade do atendimento e das orientações fornecidas.…”

Section: Discussionunclassified

Consumo dietético de gestantes e ganho ponderal materno após aconselhamento nutricional

Fazio¹,

Nomura²,

Dias³

et al. 2011

Rev. Bras. Ginecol. Obstet.

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ResumoOBJETIVOS: conhecer o consumo dietético de gestantes avaliando a ingestão de macronutrientes e micronutrientes, e verificar o ganho ponderal materno na gravidez. MÉTODOS: estudo retrospectivo do período de junho de 2002 a junho de 2008 com gestantes que receberam orientação nutricional durante pré-natal em hospital universitário, agrupadas de acordo com o estado nutricional antropométrico classificado pelo índice de massa corpórea (IMC) pré-gestacional. O consumo dietético foi analisado pelas informações de entrevista de frequência alimentar realizada na primeira avaliação da gestante no serviço de nutrição, para obter os dados do hábito alimentar, calculando-se a ingestão de macronutrientes e micronutrientes. As gestantes receberam aconselhamento nutricional, e foi analisado o ganho ponderal materno na gravidez. RESULTADOS: do total de 187 gestantes que receberam orientação nutricional, 23 (12,2%) eram de baixo peso, 84 (45,0%), eutróficas, 37 (19,8%) com sobrepeso, e 43 (23,0%), obesas. As gestantes de baixo peso apresentaram menor consumo de lípides quando comparadas ao grupo com eutrofia (101,4 versus 137,3 g; p=0,043). A média do consumo de ferro foi maior nas gestantes eutróficas (14,6 mg/d) quando comparadas às com sobrepeso (12,2 mg/d) ou obesidade (10,9 mg/d; p<0,001). A média da ingestão de folatos foi maior nas gestantes eutróficas quando comparadas às obesas (336,5 versus 234,5 µg/d; p=0,002). O ganho de peso excessivo, acima do recomendado, foi significativamente mais frequente (p=0,009) nas gestantes com sobrepeso (56,7%) e obesidade (39,5%) quando comparadas às com baixo peso (17,4%) e eutrofia (31,0%). CONCLUSÕES: o ganho ponderal materno acima do recomendado associou-se ao sobrepeso e à obesidade. O consumo dietético de gestantes difere conforme o estado nutricional antropométrico materno, com menor ingestão diária de ferro nas gestantes com sobrepeso e obesidade, e menor ingestão de folatos nas obesas, o que reforça a importância da suplementação vitamínica pré-natal.Abstract PURPOSE: to determine the dietary consumption of pregnant women, by assessing the intake of macronutrients and micronutrients, and to verify the maternal weight gain during pregnancy. METhODS: a retrospective study conducted from June 2002 to June 2008 with pregnant women who received nutritional counseling during prenatal care at a university hospital, grouped according to anthropometric nutritional status classified by pregestational body mass index (BMI). The dietary intake was analyzed according to the information obtained in food frequency interviews, performed at the first evaluation of pregnant women in the service of nutrition to obtain data about eating habits, and the intake of macronutrients and micronutrients was calculated. The pregnant women received nutritional counseling, and the maternal weight gain was investigated. RESULTS: a total of 187 pregnant women who received nutritional counseling were analyzed. Twenty-three (12.2%) were underweight, 84 (45.0%) normal weight, 37 (19.8%) overweight, and 43 (...

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“…Parity is defined as the number of times a woman has given birth to a live child, and Grand-multiparity is defined as parity equal to or greater than five previous live births [2, 3, 4, and 5]. A significant amount of research has been conducted identifying Grand-multiparity (GMP) as an independent risk factor for a variety of serious intra-partum complications (occurring during childbirth), including, placenta previa, placental abruption, fetal mal-presentation, instrumental delivery, caesarean section, postpartum haemorrhage, prematurity, newborn intensive care unit admission, and maternal death [2,3,6,7].…”

Section: Introductionmentioning

confidence: 99%

Grand-Multiparity in Saudi Arabia—Examining the Obstetric Risk

Saadia¹

2014

JGO

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Abstract:Objectives: Grand multiparity (GMP) is a term used for women who have delivered previously five or more times. Despite availability of modern obstetrical care it still remains an obstetrical risk and obstetricians consider it as a high risk pregnancy. Occurrence of GMP in developed countries has been decreasing, with the exception in some communities like Saudi Arabia. We tried to explore the relationship between obstetrical complications and grand multiparity and find out why the problem still persists despite availability of contraceptive measures. Place and duration of study: Mother and Child Hospital, Buraidah, Al-Qassim, Saudi Arabia from Jan-June 2012. Methods and Material: It was a prospective study conducted in Mother and Child hospital. Data was collected by filling a structured Proforma. GMP and women of low parity were compared by using Student t test. GMP group was asked to explain reasons for non-practicing birth spacing. SPSS-version 19 and Microsoft office 2007 for Windows 7 was used. Independent sample t test was applied to compare the means and p-value below 0.05 was considered significant. Results: The average age of the GMP subjects of the study was 38.5 years, whilst the average age of the low parity women was 27.75 years. The highest occurrence of negative health outcome observed in the GMP group was anemia 51 (24.3%) followed by preterm labor (22.3%). Regarding the data collected on failure to use contraceptives although a number of reasons served as motivation. In order of cited prevalence, Husbands will (22.4%) and fear of family (15.9%) planning methods dominated. Conclusion and recommendations: There is a significant trend that points to GMP as an obstetric risk. The most cited reason for not using contraceptives in spite of their ready availability in Saudi Arabia was the husband's lack of co-operation and fear of contraceptive measures. These responses provide valuable insight into the reasons for such a high number of GMP women in Saudi Arabia and serve as the basis for important dialogue and future study.

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Obstetric and Neonatal Outcomes in Grand Multiparity

Abstract: II-3

Cited by 71 publications

References 19 publications

Trends in the Occurrence of Antenatal and Perinatal Complications with Increasing Parity

Trends in the Occurrence of Antenatal and Perinatal Complications with Increasing Parity

Consumo dietético de gestantes e ganho ponderal materno após aconselhamento nutricional

Grand-Multiparity in Saudi Arabia—Examining the Obstetric Risk

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