Outcome of pregnancy in the Grandmultipara in Enugu, Nigeria

Eze, Justus N.; Okaro, JM; Okafor, Mary H

doi:10.4314/tjog.v23i1.14555

Cited by 11 publications

(29 citation statements)

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“…10,15 In present study, there were 10 perinatal deaths out of 114 babies born giving the PMR as 87.72/1000 live births, while Eze J N et al reported PMR as 73.4/1000 deliveries. 26 The major contributing factor for the perinatal mortality was birth asphyxia (3.6%), serious congenital anomalies (2.7%), prematurity (2.7%) and abruptio placenta and rupture uterus (0.9%) and lack of advance Neonatal Intensive Care Unit in our study center. D'souza K et al documented 12 perinatal deaths in their study.…”

Section: Discussionmentioning

confidence: 99%

Feto-maternal outcome in grand multipara

Roy

Vernekar

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Grand multiparity has been considered as obstetric hazards both to the mother and foetus and thus, viewed with great caution. In present set up grand multiparity is associated with increased likelihood of feto-maternal complications.Methods: The study was conducted to determine the feto-maternal outcome in grand multipara pregnancy.Results: In present study, the prevalence of grand multipara was 0.72% out of 15196 deliveries in the period from September 2010 to august 2012. 79.1% of the grand multipara women belonged to the age group of 31-40 years. A majority of the women were in Para 5. Most of the women had no antenatal care attendance. The highest prevalence of grand multipara women was seen among Muslim community (1.65%). A majority (59.1%) of the women were anemic. Caesarean section rate was 30.0% in our study. Post-partum hemorrhage was the most common complication encountered. 7.0% were macrosomic babies, whereas 8.7% were LBW babies. There were 10 perinatal deaths, birth asphyxia being the most important cause for the perinatal mortality. There were no maternal deaths.Conclusions: Our study demonstrates that, there is increase in antenatal and intra-partum maternal complications like anaemia, hypertensive disorder, preterm labour, increase in the rate of caesarean section, PPH etc., leading to severe maternal morbidity. So, the study concludes that in grand multipara pregnancy, both the woman and the fetus are at a greater risk during pregnancy and labour. This risk can be effectively reduced with good antenatal care and delivery by trained personnel.

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Section: Discussionmentioning

confidence: 99%

Feto-maternal outcome in grand multipara

Roy

Vernekar

2017

Int J Reprod Contracept Obstet Gynecol

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“…Other complications include uterine inertia, dysfunctional labor, uterine rupture, intrauterine death, fetal macrosomia, postpartum hemorrhage and operative deliveries with its consequent risk of maternal morbidity and mortality [7]. Socioeconomic factors play a very important part; majority of these patients are poor with inadequate access to modern perinatal care coupled with increased maternal age [1] [5]. They tend to feed their numerous children at the expense of their own nutrition, thus are prone to malnutrition [8].…”

Section: Introductionmentioning

confidence: 99%

Grand Multiparity: Obstetric Outcome in Comparison with Multiparous Women in a Developing Country

Njoku¹,

Abeshi²,

Emechebe³

2017

OJOG

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

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“…Grandmultiparity can be defined as women who have had 5 or more deliveries after the age of viability which is taken in our environment to be 28 weeks of gestation [1,2]. Great-grandmultiparous women are those who are undergoing their tenth or more delivery [3].…”

Section: Introductionmentioning

confidence: 99%

“…Grandmultiparity has traditionally been considered high risk, but recent studies from developed countries have shown that with satisfactory healthcare conditions, grandmultiparity should not be considered dangerous. The risk assessment in this group of patients should be based on the past and present history and not simply on the parity [1,3].…”

Section: Introductionmentioning

confidence: 99%

“…The incidence varies from place to place with a low incidence in developed countries and a seemingly increasing trend in developing countries [6]. The desire for large families, male child preference, high perinatal and child mortality rates are some of the contributing factors to high parity seen in developing countries [1,2]. Others are high rate of early marriages and divorce as well as non-availability and poor utilization of contraceptive methods [2,7].…”

Section: Introductionmentioning

confidence: 99%

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Grandmultiparity: Incidence, consequences and outcome in the Niger delta of Nigeria

Joseph¹,

Ayuba²,

Jeremiah³

2013

OJOG

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Sub-Saharan Africa has the highest rates of maternal and neonatal mortality worldwide. Grandmultiparity has been traditionally considered as a risk factor for adverse pregnancy outcome. The aim of this study is to determine the incidence, neonatal and maternal outcome of pregnancy in grandmultiparous women. This is a retrospective cross sectional study of grandmultiparous patients that were managed at the University of Port Harcourt Teaching Hospital, Rivers State, Nigeria, from 1^st April 2007 to 31^st March 2009. There were a total of 6760 deliveries during the study period, out of which 130 were grandmultiparous giving an incidence of 1.92%. Their mean age was 35.99 years and mean parity 5.70. Most of the patients 62 (47.5%) were para 5. About 71 (54.5%) had seconddary education, while 30 (22.8%) had tertiary level of education, 93 (71.3%) were Booked, while 37 (28.7%) were unbooked. Hypertension, malaria, antepartum haemorrhage, diabetes mellitus, anaemia and abnormal lie and presentation occurred in 68 (52.6%) during the Antenatal period with some patients having more than one complication. Labour complications occurred in 25 (19.0%) of the patients and 36 (27.4%) had anaemia at delivery. 80 (61.4%) achieved vaginal delivery. The caesarean section rate was 34.7%, and 74.3% were performed as emergency procedure. The blood transfusion rate was 12%. The maternal mortality ratio was 1538.46/100,000 live births and the perinatal mortality rate was 107.69/1000 births. It was concluded that the incidence of Grandmultiparity is low in our center compared to other centres in Nigeria, however, they tend to have unfavorable obstetric outcome. Concrete measures must be put in place to address these through specialized antenatal care and adequate management of Unbooked Emergencies.

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Outcome of pregnancy in the Grandmultipara in Enugu, Nigeria

Cited by 11 publications

References 0 publications

Feto-maternal outcome in grand multipara

Feto-maternal outcome in grand multipara

Grand Multiparity: Obstetric Outcome in Comparison with Multiparous Women in a Developing Country

Grandmultiparity: Incidence, consequences and outcome in the Niger delta of Nigeria

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