Pregnancy outcomes in grand multiparous patients: a hospital based study from Jammu and Kashmir, India

Fetomaternal outcome in grandmultipara

“…Low socioeconomic class and repeated pregnancies which do not allow sufficient time to replenish their iron stores could be the cause of anaemia as described by various authors [18,19] . A hypertensive disorder was not significantly associated with grandmultiparous patients as compared to G 2 patients, which was similar to studies by Alsammami and Akwuruoha [9,10,13] However, Rayamajhi reported significant association of hypertensive disorders in pregnancy with grandmultiparity [21] . Abruption of the placenta was more common among the grand multiparas (4.7%) as compared to G 2 patients (1%).…”

“…The literacy rate increased from 55.52% to 72.87% as per census in India and majority of both multiparous and grand multiparous patients belonged to middle or lower socioeconomic status according to Kuppaswamy scale [12] . Majority of grandmultiparous patients (68%) were in the age group of 30 years or more, similar to study by Afzal A et al and Alsammamin which 71.24% grand multiparous were in the age group of 35 years or more [9,13] . Grandmultiparity in our study was significantly associated with various complications of pregnancy, which was similar to various previous published studies [10,[13][14][15][16] .…”

“…The parity of the patients was considered to be significant factor for the occurrence of placental abnormalities [22,23] . However, various other studies shows no difference in incidence between the grandmultiparous and G 2 patients which can be attributed to a higher socio economic status, better nutrition and a better knowledge regarding the prenatal care of the people in these developed countries [9,13,24] There was a significantly higher incidence of multiple pregnancies and low birth weight babies were found in the grandmultiparous women than their G 2 controls as had been reported in other studies [16,17] No significant association between grandmultipara and admission to ICU, intrauterine fetal death which was similar to study by Afzal et Al [9,13] Grandmultiparity was associated with a significantly increased incidence of caesarean deliveries than in the G 2 controls (23% vs 14%), which was similar to study by Kavitha [25] . However studies by Afzal et al and Akwuruoha found no difference in the rate of caesarean deliveries among grandmultiparae and their age-matched controls [9,10] Increased incidence in our study can be attributed to increased incidence of malpresentation, diabetes and fetal macrosomia similar to study by Kavitha.24 There was no statistically significant difference in the rate of laparotomies, hysterectomies, and operative vaginal deliveries in the two groups studied.…”

“…Due to the lack of consensus on the definition of grand multiparity, previous regional studies from India have documented different incidence of grand multiparity. 9 However higher prevalence of grandmultiparity was reported in developing countries [10,11] . The low prevalence rate of grandmultiparity in this study can be explained by the high acceptance of family planning even in western Odisha people due to increase in both the literacy rate and socioeconomic status in last 10 years.…”

Adverse Perinatal Outcomes Among Grand Multiparous and Low Multiparous Women and Its Associated Factors in North Shewa Zone Public Hospitals: The Role of Parity

“…14 Besides, a significant association between grand multiparity and adverse fetal outcomes was reported in other studies. 15,25,26 These differences might be due to variation in study design, setting, socio-economic status, and possible confounders, ie, adverse outcomes attributable to chronic disease. Adverse birth outcomes in the previous studies might be also attributed to low health service utilization of grand multiparas.…”