Parity and low birth weight and preterm birth: a systematic review and meta‐analyses

Shah, Prakesh S.

doi:10.3109/00016349.2010.486827

Cited by 274 publications

(208 citation statements)

References 75 publications

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“…In general, pregnancy complications are more frequently observed in the first pregnancy (e.g., low BW and operative deliveries) (12)(13)(14). The risk of cesarean section (CS) in nulliparous women with spontaneous start of labor, cephalic presentation, and no previous scar has been reported to be 2.5 times higher than for comparable parous women (15).…”

Section: Introductionmentioning

confidence: 99%

Systemic Lupus Erythematosus and Outcomes in First and Subsequent Births Based on Data From a National Birth Registry

Wallenius

Salvesen

Daltveit

et al. 2014

Arthritis Care & Research

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Section: Introductionmentioning

confidence: 99%

Systemic Lupus Erythematosus and Outcomes in First and Subsequent Births Based on Data From a National Birth Registry

Wallenius

Salvesen

Daltveit

et al. 2014

Arthritis Care & Research

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“…Although grand multiparity has long been considered to be associated with increased maternal and fetal complications, recent studies indicated that with proper perinatal care, women with high parity rates are no longer at high risk [2]. Some authors concluded that in a developed country with optimal health care conditions, grand multiparity should not be considered dangerous [9] [10]. So the controversy concerning the risk of grand multiparity can be resolved in this environment by this study because the interventions to reduce grand multiparity and its complications can only be applied when the magnitude of the condition is known.…”

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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“…Others maternal risk factors associated with an increased risk of a SGA neonate are maternal age ≥35 years and particulalry in women ≥40 years old [27], African American [28] or Indian/Asian ethnicity [29], nulliparity [30], social deprivation [31], body mass index (BMI) <20, BMI > 25 [32], alcohol intake [33], drug use (with cocaine use during pregnancy being the most significant) [34] and cigarette smoking [35]. Singleton pregnancies following IVF are also at increased risk for SGA [36].…”

Section: Etiologymentioning

confidence: 99%

Early onset fetal growth restriction

Nawathe

Lees

2017

Best Practice & Research Clinical Obstetrics & Gynaecol

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Fetal growth restriction (FGR) diagnosed before 32 weeks is identified by fetal smallness associated with Doppler abnormalities and is associated with significant perinatal morbidity and mortality and maternal complications. Recent studies have provided new insights into pathophysiology, management options and postnatal outcomes of FGR. In this paper we review the available evidence regarding diagnosis, management and prognosis of fetuses diagnosed with FGR before 32 weeks of gestation.

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Parity and low birth weight and preterm birth: a systematic review and meta‐analyses

Abstract: Nulliparity was associated with a significantly increased unadjusted risk of LBW/SGA birth, whereas grand multiparity and great grand multiparity were not associated with increased risk of pregnancy outcomes.

Cited by 274 publications

References 75 publications

Systemic Lupus Erythematosus and Outcomes in First and Subsequent Births Based on Data From a National Birth Registry

Systemic Lupus Erythematosus and Outcomes in First and Subsequent Births Based on Data From a National Birth Registry

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

Early onset fetal growth restriction

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