Relation between Obstetric Outcome and Parity

Abstract

Objectives: To evaluate the prognosis of obstetric complications by parity in a suburban center in Dakar. Patients and Method: We conducted a retrospective and prospective, cross-sectional study that evaluated all women admitted to the Philippe Maguilen Senghor Health Center for the management of their pregnancy (childbirth, abortion, ectopic pregnancy), whether they were primiparous or multiparous. The data for this study covered a 66-month period, from January 1, 2012 to June 30, 2017. Data were entered into our E-perinatal computer database. They were then extracted and analyzed first on Microsoft Excel 2016 and then on SPSS 24, Windows version. Results: Between January 2012 and June 2017, we've registered 27,441 patients including 25,905 deliveries, 1415 abortions and 121 ectopic pregnancies. Direct obstetric complications involved 14.1% of our patients. 12.1% multiparous and 17.3% primiparous had at least one direct obstetric complication of World Health Organization (WHO). Antepartum haemorrhage, uterine rupture, ectopic pregnancy, and abortion complications were more common in multipara, whereas prolonged and obstructed labor, preeclampsia, and eclampsia were more common in primiparous women. Postpartum haemorrhage occurred at substantially equal frequencies in both parity groups. We had not found any case of sepsis. Conclusion: Our study confirms that primiparity is a factor that may lead to obstetric complications. However, while some complications were more common in the primiparous, others were exclusive to multiparous when we did not expect it. We also recommend continuing this work by singling out multiparas and large multiparas, in order to better understand the obstetric prognosis linked to parity.

Maternal near miss as a predictor of adverse perinatal outcomes: findings from a prospective cohort study in southwestern Uganda

“…Primigravidas tend to be younger than multigravidas which in uences their health-seeking behavior; younger patients tend to be less aware of the importance of antenatal care which results in fewer visits and late booking visits, hence contributing to delays in detecting pregnancy complications [29,30]. Furthermore, hypertensive disorders tend to be more prevalent among the primigravidas than multigravidas which may increase the risk of adverse perinatal outcomes in this group [30,31]. Additionally, primigravidas tend to be more prone than multigravidas to malaria which may compromise placental perfusion resulting in an increased risk of adverse perinatal outcomes such as low birth weight and stillbirth [32,33].…”

“…According to some studies, primigravidity is associated with adverse perinatal outcomes [18,26,27]; however, others have shown no such association [13,28]. Primigravidas tend to be younger than multigravidas which in uences their health-seeking behavior; younger patients tend to be less aware of the importance of antenatal care which results in fewer visits and late booking visits, hence contributing to delays in detecting pregnancy complications [29,30]. Furthermore, hypertensive disorders tend to be more prevalent among the primigravidas than multigravidas which may increase the risk of adverse perinatal outcomes in this group [30,31].…”

Comparative Analysis of Pregnancy Complications in Primigravida versus Multigravida

“…Additionally, issues such as bleeding in the early months of pregnancy, variations in maternal body mass index (BMI), and pre-existing maternal disorders before conception are recognized as potent influencers of pregnancy success or complications (1). Of particular note is maternal age, which has been the focus of considerable scrutiny; for years, it was hypothesized that younger maternal ages, especially teenage pregnancies, are linked with negative pregnancy outcomes (2,3). This context emphasizes the gravity of pregnancy complications, which present substantial health risks to both mother and child, impacting their health and survival.…”

Comparative analysis of pregnancy complications: primigravida versus multigravida

“…Pregnancies with anemia affect 14% of developed nations and 51% of developing nations, with 65-75% of them occurring in India alone. [3][4][5][6][7] The main causes of these complications are; a lack of education, particularly in the area of health education; a lack of access to health services; a lack of knowledge regarding the significance of prenatal care; and a lack of an effective referral system, which leads to improper patient management during the prenatal and postnatal periods.…”