STUDY OF MATERNAL AND FETAL OUTCOME OF GRAND MULTIPARA.

Abstract

Background: Pregnancies in grand multipara have been considered risky for many decades as there are higher chances of complications during pregnancy, labour and puerperium in these women. This study aims to find out various maternal and fetal complications associated with grand multiparty during pregnancy and labour.

Methods: A descriptive observational study was conducted in the department of obstetrics and gynaecology of Sir T General hospital and Government medical college and hospital, Bhavnagar, Gujarat, from May 2019 till April 2020. It includes 185 cases of grand multipara women. All the women who delivered had four or more previous viable pregnancies were included in the study.

Results: In the total 185 cases that were included in the study, the common medical illnesses found in grand multipara were anemia (25.40%), preeclampsia/ eclampsia (4.86%) and gestational diabetics mellitus (1.86%). Other complications observed were   malpresentations (2.70). Caesarian section was required in 16.21% of the cases. In perinatal outcomes, 9.72% births were still birth. 34.59% babies were of low birth weight.

Conclusion: Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications but it might be unjustifiable to attribute all risk to parity alone, risk assessment should be based on age, past obstetric and medical history.

Keywords: Grand Multipara, Maternal outcome, fetal outcome