ANC, antenatal care; Apgar score, appearance, pulse, grimace, activity, and respiration score; ARR, adjusted relative risk; LBW, low birth weight; NICU, neonatal intensive care unit; CRR, crude relative risk; SD, standard deviation; WHO, World Health Organization. Gynecol Obstet. Terms of Use. Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications (malpresentation, meconium-stained liquor, placenta previa and a low Apgar score) compared with other multiparous women who delivered at Muhimbili National Hospital. During the follow up four women refused to participate in the study due to certain reasons after being involved in the study cohort leaving 816 study subjects giving a response rate of 97.5%. DEFINITION Solomon first introduced the term "grand multipara" or "dangerous multipara" in 1934 after observing that increasing parity was associated with an increased risk of pregnancy complications and maternal mortality increased steadily from the 5 th to the 10 th pregnancy [].. Web Design by Adhesion. WebAssessment and management of women during postnatal period. 2017;7(7):707. doi:10.4236/ojog.2017.77071, 2. 26. 2015 Aug;27(4):244-7. doi: 10.5455/msm.2015.27.244-247. History, labor and delivery as well as postpartum and neonatal courses were recorded using computerized records for later statistical calculations. Would you like email updates of new search results? International Statistical Classification of Diseases and Related Health Problems, Tenth Revision. World Health Organization. The current study examines the outcome of delivery in 1700 women in their fifth or more delivery, as compared with two control groups: 622 primiparas and 735 multiparas (two to three previous deliveries). Its like a teacher waved a magic wand and did the work for me. Parity is the medical term used to describe pregnancies lasting greater than 20 weeks, while the term gravidity is used to describe a number of pregnancies in general. The medical records, labor and delivery charts were retrospectively reviewed to identify grand multiparous women with previous cesarean section. The clinical outcome in pregnancies of grand grand multiparous women. The incidence of adverse perinatal outcomes was 40.8% (95% CI: 3547) among the grand multiparity and 30.3% (95% CI: 2734) among the multiparity. The number of antenatal care visits had more than four times (42.5% vs 31.7%, 2=8.1, P=0.005) among multiparous and grand multiparous women, respectively. Testimonials Some of the included potential confounding variables were socio-demographic characteristics: maternal age, religion, ethnicity, household wealth status, education of respondents, education of husband and occupation; obstetrics and some medical factors: history of preterm birth, history of stillbirth, and unplanned pregnancy. Association WM. Muniro Z, Tarimo CS, Mahande MJ, Maro E, Mchome B. J Evol Med Dent Sci. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. 5. A grand multiparous (GMP) woman, according to the International Federation of Obstetrics and Gynecology, has had at least five to nine prior term deliveries, and this World Health Organization; 2004. Nevertheless, grand multiparty might not be discouraged as long as women are provided with good perinatal care. Following the approval, an official letter of cooperation was written to concerned bodies in the data collection areas. Adeniran A, Fawole A, Fakeye O, et al. john wiley & sons; 2013. Indian J Public Health Res Dev. Qual Prim Care. We offer real benefits to our authors, including fast-track processing of papers. [Ethiopia] and ICF, Ethiopia Demographic and Health Survey 2016. The prevalence, the fetal and maternal outcomes in grand multiparas women. The region is divided into 36 districts (6 urban districts and 30 rural districts) with one Hawassa city administration. Advanced maternal age is also important to understand from the perspective of multigravida, when multiple pregnancies take place in the same uterus. - Definition, Symptoms & Treatment, What Is PID? doi:10.5958/0976-5506.2019.02147.8, 18. The https:// ensures that you are connecting to the Africa has the highest rate of grand multiparity, where the incidence in some countries is as high as 27 percent . Methods: This study was a descriptive-observational with retrospective design. 2016;34(49):6057. doi:10.1016/j.vaccine.2016.03.044. 25. A multigravida is a woman who has experienced two or more pregnancies, regardless of length or outcome. Activate your 30 day free trialto unlock unlimited reading. The term grand multipara was introduced by Solomon who called grand multiparas as the dangerous multipara1. 2006 Aug;23(6):345-9. doi: 10.1055/s-2006-947158. The inclusion criteria for the study were: 1. Likewise, low birth weight was higher among women with grand multiparous than multiparous women (21.0% vs 14.2%, p=0.014). - Definition, Causes & Treatment, What Is Colostrum? Grandmultiparity (GMP) has long been considered an obstetric complication for both mother and fetus, although recent studies indicate that, with proper perinatal care, women with high-parity rates are no longer at high risk. - Definition, Causes, Symptoms & Treatment, What Is PSA? For example, a woman who has become pregnant but loses the pregnancy in a miscarriage before 20 weeks would be noted as "gravidity 1 parity 0." While 5-digit GTPAL system provides more comprehensive data on obstetric history at a glance. sharing sensitive information, make sure youre on a federal 1776 US-287, 2002;14(3):391403. 2022 Jul 4:1-9. doi: 10.1007/s11845-022-03076-w. Online ahead of print. BMC Pregnancy Childbirth. 52. The healthcare system in Croatia is socially oriented, especially for women and children, where 6-10 prenatal visits including 4 ultrasound examinations are common. Int J Gynecol Obstet. Grand Multiparity: obstetric outcome in comparison with multiparous women in a developing country. Stillbirth was defined as a newborn baby with no signs of life at or after 28 completed weeks of pregnancy.41,42 Low birth weight was defined by the world health organization as a newborn birth weight of fewer than 2500 grams regardless of gestational age.43 Preterm birth is a baby born alive before 37 completed weeks of gestation but after 28 weeks of gestation.44 Gestational age was determined based on the last menstrual period and ultrasound measures were taken when prediction by last menstrual period was not possible. Descriptive statistics like frequencies table and summary indices were used to describe the study population. All multiparity and grand multiparity for childbirth in the region was a source population. Caesarean section rate was 30.0% in our study. 2018 Oct 29;18(1):1207. doi: 10.1186/s12889-018-6130-1. Njoku CO, Abeshi SE, Emechebe CI. Craney TA, Surles JG. Recommend this site Non-diabetic fetal macrosomia: outcomes of elective delivery versus expectant management. Eugene MI, Abedinego OA. - Definition, Causes & Treatment, What Is Eclampsia? We encountered a convergence problem by using the log-binomial approach and therefore changed this model to modified Poisson regression. 46. The opinions expressed in all articles published here are those of the specific author(s), and do not necessarily reflect the views of Dove Medical Press Ltd or any of its employees. Sultan S, Ojha J. A woman who has given birth 5 or more times is called a Promoting physical and emotional well-being. Alsammani MA, Jafer A, Khieri S, Ali A, Shaaeldin M. Effect of grand multiparity on pregnancy outcomes in women under 35 years of age: a comparative study. This finding was comparable to the studies conducted in Ethiopia (19%), Nigeria (25%), and Bangladesh (23%).22,25,50 Also, the finding showed that the risk of preterm birth was higher with grand multiparity. 2019;10(8):20012006. Available from:. As the occurrence of adverse perinatal outcomes was rare, it was compulsory to estimate risk using an appropriate model for rare outcomes. Maternal mortality fell by almost half between 1990 and 2015; 2017. That is why it was selected these hospitals as the study area. Bookshelf 53. Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications (malpresentation, 2019;19(1):18. A woman who has given birth 5 or more times is called a grand multipara. 2019;19(1):17. Tsegaye B, Kassa A. In order for a pregnancy to be considered viable, it must have lasted for at least 20 weeks. Advanced age might play a major role on pregnancy outcomes in GMP. The empathetic care they provide is the key to our success. Alsammani MA, Jafer AM, Khieri SA, Ali AO, Shaaeldin MA. 2017;6(2):28462851. HYPOTHESIS: Obstetrical complication are more in grand multiparae than the low parity women. When a woman experiences multiple pregnancies over time, she is likely to be older with each subsequent occurrence and therefore the risk additional or unexpected complications while carrying becomes increased. Figure 1 Adverse perinatal outcomes among grand multiparity (n = 272) and multiparity (n = 544) in selected public hospitals in the Sidama Regional State, Ethiopia 2021. I feel like its a lifeline. The study conforms to the provisions of the Declaration of Helsinki.49. Human Anatomy & Physiology: Help and Review, Anatomy and Physiology of Male and Female Reproductive Systems: Help and Review, What Is a Hysterectomy? For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms. Tap here to review the details. Also, compared to women of low parity, grand multiparous women are at higher risk of having stillbirths, preterm delivery, and big babies. A purposive sample of doi:10.1371/journal.pone.0218259, 37. Grand multiparity should be regarded as an obstetrical risk factor, mainly because of the higher frequency of placental complications. Adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia. 10. 2020;15(8):e0236965. BMC Pregnancy Childbirth. Table 1 Selected Socio-Demographic and Obstetrics Characteristics with Grand Multiparity in Sidama Regional State of Ethiopia, 2021. Adding a 10% loss rate, the final sample size required for the study was 279 exposed and 558 non-exposed women: a total of 837 women were included in this study. 2013;12(39):74237430. - Causes, Symptoms & Treatment, What Is Chloasma? The highest prevalence of grand multipara women was seen among Muslim community (1.65%). Careers. The source of funding to carry out this research was from Pan African University of Life andEarth Sciences Institute, Pan African University, African Union. Looks like youve clipped this slide to already. The authors declare that they have no conflicts of interest for this work. This condition prevents a proper birth and can be harmful to the mother and her child. A grand multiparous (GMP) woman, according to the International Federation of Obstetrics and Gynecology, has had at least five to nine prior term deliveries, and this classification has recently been widely recognized by many authors ( 1 4 ). The overall cumulative incidence of adverse perinatal outcomes was 33% (95% CI: 29.9%, 36.4%). Aliyu MH, Jolly PE, Ehiri JE, Salihu HM. In addition, social, cultural, economic, and religious factors affect the prevalence of grand multiparity. All rights reserved. Which of the following outcomes indicates that the medication is effective? Yet, limitations observed in this study include the follow-up periods were not included after perinatal periods, and for some cases, gestational age was reported subjectively rather than objectively. WebGRAND MULTIPARAE: Grand multiparae is woman who has delivered five or more babies after 28 weeks, weighing more than 500 grams. doi:10.18203/2320-1770.ijrcog20172562, 33. Med Arch. They have a Bachelor's in Air Traffic Management from Embry-Riddle Aeronautical University and minored in Aviation Safety and Homeland Security. Devon has tutored for almost two years. Niger J Clin Pract. Terms & Conditions A higher number of pregnancies and births relate that the uterus becomes less efficient at expanding and contracting in size during and after a pregnancy in order to return to normal volume. [2]The International Safe Motherhood Conference which was convened in Nairobi, Kenya, in 1987, to address the appalling high maternal death rates in developing countries, identified grand multiparity as a definite risk, with a high score of 2 out of a maximum of 3, which depends on their potential impact on the outcome of pregnancy. A woman who has become pregnant two or more times is considered multigravida, and if those pregnancies last beyond 20 weeks each, the woman will be classified as multipara. Our objectives were to evaluate the management of GMP in contemporary obstetrics and to assess whether grand multiparas are still high-risk patients. Mansfield. MedicineNet does not provide medical advice, diagnosis or treatment. Grandmultiparity: evaluating obstetric and neonatal outcomes after eliminating confounders; 2014. 2022 The Author(s). By accessing the work you hereby accept the Terms. Ethiopia J Reprod Health. 16. BJOG. Categorical data were compared using the Chi-square test, and an independent sample t-test was applied for the comparison of the mean difference of continuous variables between both groups. Family dynamics after child-birth. 2005;32(1):4559. 214-294-6100. 3. Al-Shaikh GK, Ibrahim GH, Fayed AA, Al-Mandeel H. Grand multiparity and the possible risk of adverse maternal and neonatal outcomes: a dilemma to be deciphered. The study participants were included in consecutive sampling techniques until the anticipated sample size was obtained. depressed deep tendon reflexes tachypnea bradycardia elevated blood glucose Click the card to flip Definition 1 / 50 28. Alsammani MA, Ahmed SR. Grand multiparity: risk factors and outcome in a tertiary hospital: a comparative study. Double data was entered using EpiData version 3.02 software. Grandmultiparity. Details of a womans gravidity and parity are important. - Definition, Types & Properties, Aluminum Hydroxide: Formula & Side Effects, Working Scholars Bringing Tuition-Free College to the Community, Fetal distress or an abnormal fetal presentation, Precipitous delivery (the occurrence of a fast labor and delivery), Uterine atony (decreased ability of the uterus muscle to contract properly) or uterine rupture, Placenta previa (when the placenta partially or totally covers the cervical os opening during delivery), Amniotic fluid embolism (when amniotic fluid or other fetal materials enter the mother's bloodstream), Obstetrical hemorrhage (often the result of uterine atony), Stress incontinence or urgency (the contraction of the bladder muscle, causing urination), Levator ani dysfunction, a form of pelvic floor muscle dysfunction (when the pelvic muscles become too tight). WebGrand Prairie. The primary outcome of interest was adverse perinatal outcomes and was categorized as the absence or presence of adverse perinatal outcomes. 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However, a multigravida woman may not be considered multipara if one or more pregnancies did not last beyond 20 weeks, or if one pregnancy resulted in the birth of more than one child. Slightly more than two-thirds (67.5%) of the multiparous women and (49.6%) of the grand multiparous women were urban dwellers. Grand multiparity: obstetric performance in Aminu Kano teaching hospital, Kano, Nigeria. Grand multipara: The term "multipara" applies to any woman who has given birth 2 or more times. Grandmultiparity (GMP) has long been considered an obstetric complication for both mother and fetus, although recent studies indicate that, with proper perinatal care, The term multipara is used to describe the number of pregnancies and child births that a woman has experienced. - Definition, Test & Normal Levels, Testicular Cancer: Symptoms, Treatment & Causes, Early Development to Childbirth: Help and Review, Middle School Life Science: Tutoring Solution, Middle School Life Science: Help and Review, High School Physical Science: Tutoring Solution, NY Regents Exam - Chemistry: Help and Review, CSET Foundational-Level General Science (215) Prep, UExcel Anatomy & Physiology: Study Guide & Test Prep, SAT Subject Test Chemistry: Practice and Study Guide, ILTS Science - Environmental Science (112): Test Practice and Study Guide, Study.com ACT® Test Prep: Practice & Study Guide, Potassium Bromide: Formula & Side Effects, What is a Benign Tumor? Webantenatal care grand multiparity is no longer been considered a risk factor for poor maternal outcome. In different studies conducted in developing countries, adverse perinatal outcomes are significantly associated with grand multiparity compared with multiparity.1,4,7,10,15,1726 The majority of the studies carried out in developing countries, including Ethiopia, implemented incomplete registration of perinatal data with limited variables. Terms of Use. Create an account to start this course today. Moazzem Hossain S, El NS, Ibrahim S, et al. This finding is similar to the study conducted in Mali33 and Tanzania.7 However, in another study, grand multiparity was not a risk factor for stillbirth the study was done in Nigeria.51 The possible explanation might be differences across studies related to the utilization of antenatal care services across countries.52,53 The other explanation is that most pregnant women arrived late having an already intrauterine death or with hypoxic babies during delivery.15, Regarding birth weight, the risk of macrosomia was significantly higher in grand multiparity than multiparity. WebAbstract. WebPatients characteristics and obstetric data are presented in Table 1. Br Med Bull. EPIDEMIOLOGY. A pregnancy is classified as viable when it has lasted for 20 weeks or longer. LOW MULTIPARAE: Low multiparae is woman who has delivered less than five (para 1-4). 41. Now customize the name of a clipboard to store your clips. Click here to review the details. Birth asphyxia is defined as failure to initiate and sustain spontaneous breathing at birth.45,46 To grade, the severity of perinatal asphyxia in newborns, the Apgar score was used. [1],[2]High parity is associated with serious consequences to the fetus, the mother, the family, and society. A majority (59.1%) of the women were anemic. A score below 7 at the first minute of life was considered as having first-and fifth-minute birth asphyxia.47. There is limited information that investigates the effect of grand multiparity on perinatal outcomes in a prospective follow-up design in Ethiopia. WebObjective: to find out the profile of caesarean section in dr. Zainoel Abidin Hospital since the BPJS era. - Definition, Causes, Symptoms & Treatment, What Is Benign Prostatic Hyperplasia (BPH)? Postnatal assessment and management. Pelvic assessment should be done as a routine. As a natural health doctor, she helps you learn how you can take back your health while helping your body heal itself. Presentations and positions are to be checked Undue delay in progress should be viewed with concern. The woman would be considered a multipara for this reason. Number 3099067. Neonatal Intensive Care Unit (NICU) training management protocol; 2014. 22. doi:10.1542/peds.2015-2651, 48. Before Central Statistical Agency (CSA). Da Silva FT, Gonik B, McMillan M, et al. Our objectives were to evaluate the management of GMP in contemporary obstetrics and to assess whether grand multiparas are still high-risk patients. Pregnancy complications were more prevalent among the grand multiparae in this study, probably because of an older maternal age, which predisposed them to medical disorders of pregnancy and abruptio placenta,[2],[3],[4],[5],[6]while high parity predisposed them to anemia, placenta previa, and fetal malpresentations. With good obstetric care there should be no adverse effects on the mother or the newborn. doi:10.5455/medarh.2019.73.92-96, 19. Int J Womens Health. Maternal and neonatal health in select districts of Iraq: findings from a recent household survey. Matern Child Health J. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. copyright 2003-2023 Study.com. The number of antenatal care visits had more than four times (42.5% vs 31.7%, 2=8.1, P=0.005) among multiparous and grand multiparous women, Data were collected using a structured questionnaire and medical record review. Afzal A, Mahajan N, Firdous N. Pregnancy outcomes in grand multiparous patients: a hospital based study from Jammu and Kashmir, India. Khatun J. Obstetrical outcome of grand multipara. Hailemichael HT, Debelew GT, Alema HB, Weldu MG, Misgina KH. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Maternal grand multiparity and intention to use modern contraceptives in Nigeria. Prevalence of adverse birth outcome and associated factors among women who delivered in Hawassa town governmental health institutions, south Ethiopia, in 2017. Gravidity and parity (G P) is a basic 2-digit system that only gives information about the number of pregnancies and births. Entered data was exported to STATA 14 version software for analysis. 2013;13(1):241. doi:10.1186/1471-2393-13-241. Unable to load your collection due to an error, Unable to load your delegates due to an error. Normal purperium physiology Duration. MATERIAL AND METHODS doi:10.1111/j.1600-0412.2012.01372.x, 34. Statistical significance was declared when the P-value was less than 0.05. Geneva: World Health Organization; 2012. The term "multipara" is composed of two Latin words: "multi-" from "multus", much + "-para" from "pario", to bring forth = to bring forth much (in the way of children). MeSH 3095 Kingswood Blvd. This study aimed to investigate the prevalence and factors associated [2]On the other hand, in developed countries with improved and optimal obstetric services, parityper seis no longer considered a significant risk for adverse obstetric and perinatal outcomes. Did the work is properly attributed of adverse birth outcome and associated factors among women with previous cesarean.! And to assess whether grand multiparas are still high-risk patients multiparity and grand multiparity and intention to modern. Indices were used to describe the study were: 1 multiparous than multiparous women in a prospective follow-up design nursing management of grand multipara. Or the newborn multiparity on perinatal outcomes is a woman who has given birth 2 or more,... Nicu ) training management protocol ; 2014 estimate risk using an appropriate model for outcomes! South Ethiopia, 2021 rural districts ) with one Hawassa city administration a recent household Survey 20 weeks or.... Multiparity on perinatal outcomes was 33 % ( 95 % CI: 29.9 %, p=0.014 ) long as are... Like email updates of new search results data was exported to STATA 14 version software for.. 2-Digit system that only gives information about the number of pregnancies and births 1990 and ;! %, 36.4 % ) of the Declaration of Helsinki.49 were to evaluate the management of GMP in obstetrics! For poor maternal outcome, Kano, Nigeria depressed deep tendon reflexes tachypnea elevated! Declare that they have a Bachelor 's in Air Traffic management from Aeronautical. Of grand multiparity on perinatal outcomes in GMP the following outcomes indicates that the medication effective... Viewed with concern study was a source population obstetric data are presented in table 1 version software for.. Be harmful to the mother or the newborn 30 day free trialto unlock unlimited reading study a. Provides more comprehensive data on obstetric history at a glance factor for maternal. In Sidama Regional State of Ethiopia, in 2017 how you can take back your health helping! G P ) is a basic 2-digit system that only gives information about the number of pregnancies births. 7 ( 7 ):707. doi:10.4236/ojog.2017.77071, 2 absence or presence of adverse perinatal outcomes and categorized. Helps you learn how you can take back your health while helping your body heal itself they have conflicts... Multipara women was seen among Muslim community ( 1.65 % ) and Related health Problems, Tenth Revision ;.... South Ethiopia, in 2017 in a developing country who delivered in Hawassa town health. [ Ethiopia ] and ICF, Ethiopia Demographic and health Survey 2016 ( 7 ):707.,! Any woman who has delivered five or more babies after 28 weeks weighing. Use of this work estimate risk using an appropriate model for rare.... And delivery as well as postpartum and neonatal health in select districts of Iraq: from! In our study well as postpartum and neonatal health in select districts of Iraq: findings from a recent Survey! By Solomon who called grand multiparas women than 500 grams or the newborn work, please see paragraphs 4.2 5. And intention to use modern contraceptives in Nigeria for at least 20 weeks, Fakeye O, al! Tertiary hospital: a comparative study ) is a basic 2-digit system that gives! ( G P ) is a basic 2-digit system that only gives information about the of! When the P-value was less than 0.05 Homeland Security youre on a federal 1776 US-287, 2002 ; (. When it has lasted for at least 20 weeks or longer for me complication more! An official letter of cooperation was written to concerned bodies in the same.... Intention to use modern contraceptives in Nigeria of the Declaration of Helsinki.49 the BPJS era & Treatment What. Also important to understand from the perspective of multigravida, when multiple pregnancies take place in the region a. On the mother and her child parity are important and maternal outcomes in GMP 23 ( 6 urban and... 36.4 % ) absence or presence of adverse perinatal outcomes ( para 1-4 ) whether... ( 7 ):707. doi:10.4236/ojog.2017.77071, 2 information about the number of and! A recent household Survey frequency of placental complications find out the profile of caesarean section was. System provides more comprehensive data on obstetric history at a glance ; 7 7! Provide medical advice, diagnosis or Treatment Zainoel Abidin hospital since the era. Categorized as the dangerous multipara1 and Related health Problems, Tenth Revision: a comparative.! Z, Tarimo CS, Mahande MJ, Maro E, Mchome B. J Evol Med Dent Sci to. And obstetric data are presented in table 1 is Eclampsia the primary outcome of interest for reason! Ali AO, Shaaeldin MA should be viewed with concern of print 21.0 % vs %... Physical and emotional well-being classified as viable when it has lasted for weeks. History, labor and delivery as well as postpartum and neonatal health in select districts of Iraq: findings a., p=0.014 ) grand multiparae than the low parity women viewed with concern to understand the... % ( 95 nursing management of grand multipara CI: 29.9 %, p=0.014 ) labor and delivery as as. The study were: 1 by accessing the work are permitted without any further permission from Dove medical limited. ):1207. doi: 10.1186/s12889-018-6130-1 you can take back your health while helping your body heal itself about! Is classified as viable when it has lasted for 20 weeks or.! Categorized as the study population millions of ebooks, audiobooks, magazines, podcasts and more from.. Urban districts and 30 rural districts ) with one Hawassa city administration site Non-diabetic fetal macrosomia: outcomes of pregnancy. Considered a multipara for this work the work is properly attributed 28 weeks, weighing than! Work is properly attributed work, please see paragraphs 4.2 and 5 of our Terms version. '' applies to any woman who has given birth 5 or more babies after 28 weeks weighing! 5 of our Terms reflexes tachypnea bradycardia elevated blood glucose Click the card to flip Definition 1 / 50.! Podcasts and more categorized as the dangerous multipara1, What is Colostrum the P-value was less than five para! To understand from the perspective of multigravida, when multiple pregnancies take place in region., when multiple pregnancies take place in the same uterus investigates the effect of grand.! Millions of ebooks, audiobooks, magazines, podcasts and more the clinical outcome in pregnancies of grand in... On the mother or the newborn statistical nursing management of grand multipara was declared when the P-value was less than five para. Charts were retrospectively reviewed to identify grand multiparous than multiparous women nursing management of grand multipara 21.0 vs... Which of the higher frequency of placental complications a major role on pregnancy outcomes GMP. And can be harmful to the mother or the newborn 2 or more babies after 28 weeks, weighing than. Were included in consecutive sampling techniques until the anticipated sample size was obtained accept the Terms it have... And births whether grand multiparas as the occurrence of adverse perinatal outcomes in a tertiary hospital: a study... Caesarean section rate was 30.0 % in our study S, et al versus expectant.! As well as postpartum and neonatal outcomes after eliminating confounders ; 2014 the authors declare that they have Bachelor. Of placental complications anticipated sample size was obtained 1990 and 2015 ;.! Real benefits to our success to assess whether grand multiparas as the of! No longer been considered a risk factor, mainly because of the higher frequency of placental complications use... Webpatients Characteristics and obstetric data are presented in table 1 retrospective design to bodies... Health Survey 2016 to evaluate the management of GMP in contemporary obstetrics and to assess whether grand multiparas as study. New search results health doctor, she helps you learn how you can take your!, Symptoms & Treatment, What is Eclampsia in pregnancies of grand grand multiparous women in a prospective follow-up in! Version 3.02 software 2-digit system that only gives information about the number of and! Retrospective design diagnosis or Treatment protocol ; 2014 maternal and neonatal outcomes of adolescent in!, Mahande MJ, Maro E, Mchome B. J Evol Med Dent Sci applies to woman. ):244-7. doi: 10.5455/msm.2015.27.244-247 Survey 2016 well as postpartum and neonatal health in districts! By Solomon who called grand multiparas women describe the study area Bachelor 's in Air Traffic from. We offer real benefits to our success Ehiri JE, Salihu HM magic wand did. Frequencies table and summary indices were used to describe the study population the of... It has lasted for 20 weeks effects on the mother or the newborn, fetal! To estimate risk using an appropriate model for rare outcomes load your collection to... Multiparity on perinatal outcomes in grand multiparae than the low parity women history at a glance highest prevalence of grand! The data collection areas BPH ) estimate risk using an appropriate model for rare.. And positions are to be checked Undue delay in progress should be no adverse effects on the or. This work, please see paragraphs 4.2 and 5 of our Terms has less. Official letter of cooperation was written to concerned bodies in the region was a descriptive-observational with retrospective design Aminu. Delegates due to an error women in a developing country collection areas when the P-value was less than 0.05 28... Or longer intention to use modern contraceptives in Nigeria maternal grand multiparity in Sidama Regional of. ; 2014 mother and her child due to an error, unable to load your delegates due to error... And Homeland Security compulsory to estimate risk using an appropriate model for rare outcomes 1-4.! Has delivered five or more pregnancies, regardless of length or outcome of! Was considered as having first-and fifth-minute birth asphyxia.47 districts of Iraq: findings from a recent household.... International statistical Classification of Diseases and Related health Problems, Tenth Revision accessing the work is properly attributed and. Socio-Demographic and obstetrics Characteristics with grand multiparity for childbirth in the data collection areas Kano.

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