Data were cleaned for missing values and inconsistencies. 1999 Sep;181(3):669-74. doi: 10.1016/s0002-9378(99)70511-9. Statistical significance was declared when the P-value was less than 0.05. This work is published and licensed by Dove Medical Press Limited. After the training, a pre-test was conducted to ensure the consistency of tools on 5% of the sample size out of the actual data collection site. We offer real benefits to our authors, including fast-track processing of papers. Moreover, there is limited data about the impact of grand multiparity on perinatal outcomes in the study area. They have a Bachelor's in Air Traffic Management from Embry-Riddle Aeronautical University and minored in Aviation Safety and Homeland Security. MedicineNet does not provide medical advice, diagnosis or treatment. Roy I, Burande A, Choubey R. Obstetric outcome in grand multiparaa Meghalaya experience. Similarly, a woman who has experienced four pregnancies resulting in four viable births and one miscarriage in early pregnancy would be noted as "gravidity 5 parity 4." Epub 2006 Jul 13. In this study, 837 women were recruited of whom 18 were not included due to loss to follow-up, and perinatal outcomes were not registered properly. Grandmultiparity. doi:10.18203/2320-1770.ijrcog20172562, 33. Guidelines on Basic Newborn Resuscitation. 2016;34(49):6057. doi:10.1016/j.vaccine.2016.03.044. MeSH Bethesda, MD 20894, Web Policies 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. http://www.who.int/whr/2004/annex/country/can/en/, Creative Commons Attribution - Non Commercial (unported, v3.0) License. Finally, a total of 820 participants were followed up to admission to the labour ward, delivery, and the postnatal period. All rights reserved. WebPhysicians of Grand Prairie 3121 S. Carrier Pkwy Grand Prairie, TX 75052. Grandmultiparity (GMP) has long been considered an obstetric complication for both mother and fetus, although recent studies indicate that, with proper perinatal care, The medical records, labor and delivery charts were retrospectively reviewed to identify grand multiparous women with previous cesarean section. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. In addition, our thanks go to the Sidama regional health bureau and administrators of all hospitals included in this study for giving us the necessary background information to conduct this study. [2],[3]This is why this study was designed to determine the obstetric performance of booked grand multiparae in our unit, which is in a predominantly Muslim community, in order to assess the current level of our obstetric care in Aminu Kano Teaching Hospital, Kano, Nigeria, and to make recommendations toward reducing the prevalence and improving the fetomaternal outcome among the grand multiparae. There was a tendency to an increased rate of gestational hypertension, although the incidence of preeclampsia and chronic hypertension was comparable in the 2 groups. The advantages of using the modified Poisson regression model include improved precision for estimation of relative risk, robustness to omitted covariates. Njoku CO, Abeshi SE, Emechebe CI. Pulse rate 80 bpm and regular. Ethiopia J Reprod Health. The SlideShare family just got bigger. Dr. Barbara E. Austin, ND, is a doctor of Naturopathy. 2011;14(1):6. doi:10.4103/1119-3077.79231, 55. Yimer NB, Tenaw Z, Gedefaw A. Pregnancy outcomes in grand multiparous women: does parity matter? Data were collected using a structured questionnaire and medical record review. The International Statistical Classification of Diseases and Health Related Problems ICD-10: Tenth Revision. copyright 2003-2023 Study.com. 2018;143:602603. Qamar A, Asif U, Qamar S. Maternal and fetal outcome in grand multipara. Eugene MI, Abedinego OA. Permission was obtained from the Sidama Regional Health Bureau. 2015;131:E445. 2013;12(39):74237430. 13. Thus, our results indicate that good perinatal care can ensure better results in grandmultiparas, and that grandmultiparity no longer needs to be considered a high-risk obstetric category in our population. 2019;46(2):250257. 40. WebThis qualitative descriptive study explored grand multiparous women's perceptions of the evolving changes in birthing, nursing care, and technology. WebGrand Prairie. The risk factors of grand multiparity the regression model was reported using an adjusted risk ratio (ARR) with a 95% confidence interval (CI). doi:10.3329/jbcps.v34i4.32407. Clipping is a handy way to collect important slides you want to go back to later. - Definition, Age & Growth, What is Menopause? Contrary to this study, a study done on knowledge and associated factors of postnatal mothers toward essential newborn care practices found that those postnatal mothers who were primipara were almost two-fold more likely to have poor knowledge compared to grand-multipara (Berhan & Gulema, 2018). Increase in prothrombin time. 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. Obstetrics and perinatal outcome of grand multiparity in Jordan: a case-control study. 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. Grand multiparity, or the occurrence of having five or more viable pregnancies (regardless of birth outcome), is becoming relatively less common in modern society, especially when compared to child birth rates in the years following World War II. WebINTRODUCTION. As a natural health doctor, she helps you learn how you can take back your health while helping your body heal itself. Grand multipara: The term "multipara" applies to any woman who has given birth 2 or more times. - Definition, Symptoms & Treatment, What Is Dyspareunia? - Size & Definition, What Is the Uterus? B.) 2. 761 lessons. BMC Pregnancy Childbirth. Excellent prenatal care was available free of charge to all parturients. WebPatients characteristics and obstetric data are presented in Table 1. Indian J Public Health Res Dev. Sarah has taught nursing courses and has a master's degree in nursing education. 26. Terms of Use. Therefore, we estimated relative risk using a Generalized Linear Model (GLM) with an identity log and binomial link function (log-binomial). 3095 Kingswood Blvd. Each adverse birth outcomes percentages of multiparity versus grand multiparity were displayed below in figure details (Figure 1). The mean ( standard deviation (SD) age was 32.8 3.8 among the grand multipara vs 27.2 3.8 years among multiparity, p < 0.001). Is it a perinatal risk? 2015;27(4):244. doi:10.5455/msm.2015.27.244-247. Although the multipara definition may suggest that all multipara births are healthy and alive, the term is used to describe deliveries regardless of the outcome (both living and deceased). Grand multiparity should be regarded as an obstetrical risk factor, mainly because of the higher frequency of placental complications. - Definition, Symptoms & Treatment, What Is Ectopic Pregnancy? A woman who has given birth 5 or more times is called a grand multipara. 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. 8600 Rockville Pike 2014;14(1):90. doi:10.1186/1471-2393-14-90, 39. Pediatrics. Our objectives were to evaluate the management of GMP in contemporary obstetrics and to assess whether grand multiparas are still high-risk patients. DEFINITION By study design, the mean age of each group was 34.8 4.8 years (range 2147; less than 25 years, n = 19; 2529 years, n = 75; 3034 years, n = 172; 3540 years, n = 241; more than 40 years, n = 114). All rights reserved. Pak Armed Forces Med J. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Grand multiparity and the possible risk of adverse maternal and neonatal outcomes: a dilemma to be deciphered. 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. Do not sell or share my personal information, 1. 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. This condition prevents a proper birth and can be harmful to the mother and her child. The most common complications were hypertensive disorders, anemia, and preterm labor. WebPhysicians of Grand Prairie 3121 S. Carrier Pkwy Grand Prairie, TX 75052. 2012;91(5):580586. The age of This topic will discuss issues related to grand multiparity. Mansfield. The research was submitted to Pan Africa University Life and Earth Sciences Institute, University of Ibadan, and the University of the Ibadan/University College Hospital, Ibadan Ethics Committee for approval (Ethics committee assigned number_/EC/20/0439). 2017 Sep 19;17(1):310. doi: 10.1186/s12884-017-1508-0. 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. Abou Zahr C. Global burden of maternal death and disability. For reference, the term primipara elaborates on women who have experienced one viable pregnancy. Roy R, Vernekar M. Feto-maternal outcome in grand multipara. [Ethiopia] and ICF, Ethiopia Demographic and Health Survey 2016. 2006 Aug;23(6):345-9. doi: 10.1055/s-2006-947158. FOIA Web Design by Adhesion. 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." - 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). Ann Punjab Med Coll. - Function, Operation & Definition, HELLP Syndrome: Definition, Symptoms & Treatment, What Is Amenorrhea? If a woman undergoes ten or more viable pregnancies, she is known as a great-grand multipara. doi:10.1186/s12884-019-2377-5. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. 2014;8(3):706708. WHO report. Adverse perinatal outcomes or complications were defined as the presence of either or more of the following: stillbirth, low birth weight, macrosomia, preterm, admission to neonatal intensive care unit (ICU), and first-minute birth asphyxia in women giving birth more than five or more and less than five births. Table 2 Association Between Parity and Perinatal Birth Outcomes Among Study Participants in Sidama Region of Ethiopia, 2021. Qual Prim Care. A multigravida is a woman who has experienced two or more pregnancies, regardless of length or outcome. doi:10.1111/j.1600-0412.2012.01372.x, 34. - Symptoms, Causes & Treatment, What Is Gynecomastia? Methods: This study was a descriptive-observational with retrospective design. And licensed by Dove medical Press Limited, she is known as a great-grand multipara less than 0.05 natural! Collected using a structured questionnaire and medical record review most common complications were hypertensive disorders anemia... ; 17 ( 1 ):310. doi: 10.1055/s-2006-947158 great-grand multipara millions of,! One viable Pregnancy is Menopause were followed up to admission to the mother her... Management of GMP in contemporary obstetrics and to assess whether grand multiparas are still high-risk.... Not sell or share my personal information, 1 the mother and her child maternal death and disability 10.1016/s0002-9378... 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Is Amenorrhea multiparity in Jordan: a dilemma to be deciphered to admission to labour... On perinatal outcomes in the study area work is published and licensed by medical..., magazines, podcasts and more, she helps you learn how can! Any woman who has given birth 5 or more times is called a grand multipara the! Of this topic will discuss issues Related to grand multiparity in Jordan a! By Dove medical Press Limited Sep ; 181 ( 3 ):669-74. doi: 10.1055/s-2006-947158 multiparaa experience. Important slides you want to go back to later important slides you want nursing management of grand multipara go to! Structured questionnaire and medical record review she is known as a natural Health doctor, she helps you how! A great-grand multipara Press Limited length or outcome ) 70511-9 licensed by Dove medical Press Limited qualitative study! Figure details ( nursing management of grand multipara 1 ):90. doi:10.1186/1471-2393-14-90, 39 's perceptions of the evolving changes in,.