The Grand Multipara (GM) has almost disappeared in the Western countries due to the advancement of family planning. Mwambingu, A.A. Al Meshari and A. Akiel Department of Obstetrics and Gynaecology, King Abdul Aziz University Hospital, College of Medicine, King Saud University, Riyadh (Saudi Arabia) (Received November 3rd, 1986) … 1. 2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt. During January 1991 to November 1995, 9253 women delivered. West Indian Med J. The association of grand multiparity and poor pregnancy outcome has not been consistent for decades. The problem of grand multipara in developing countries is compounded by a high prevalence of low socio- economic status, poor female literacy, and social deprivation, as well as ... Grand multiparity has been linked to increased incidence of abortions, anemia, multiple pregnancy,malpresentation, ante … Zentralbl Gynakol. A retrospective study was conducted in the department of Obstetrics & Gynecology at The Aga Khan University Hospital in Karachi, Pakistan, to evaluate if grandmultiparity is a risk factor in the presence of adequate antenatal care. Int. Obstet., 1988, 26: 355-359 International Federation of Gynecology & Obstetrics The problem of grandmultiparity in current obstetric practice F.T. 1. J. Gynecol. Classifying grand multiparous women as a high-risk group without clear evidence of a consistent association with adverse outcomes can lead to socioeconomic burdens to the mother, family and health systems. Mikulandra F(1), Perisa M, Merlak I, Stojnić E. Author information: (1)Department of Gynecology and Obstetrics, Medical Center of Sibenik, Croatia. Tropical Journal of Obstetrics and Gynaecology, 5, 13-17. 1992;114(10):491-6. The rates are still high in Nigeria and most other poorer countries. (1985) The problems of grandmultiparity as seen at Benin Teaching Hospital, Benin-City, Nigeria. Having a heterogenous population, the problem of Grand Multiparity still exists in our country. Grandmultiparae constitute a significant proportion of the obstetric population in Nigeria hence the problems of grandmultiparity still abound. Grandmultiparity has been associated with complications for both mother and the fetus. Objective: To describe the outcome of pregnancy in grandmultiparae. The grand multipara--an obstetric problem? Mwambingu FT , Al Meshari AA , Akiel A Int J Gynaecol Obstet , 26(3):355-359, 01 Jun 1988 1970 Jun;19(2):84-90. (Multiparous, MP, para 1-3). Jochen Brunner, Eva Melander, Margareta Krook-Brandt, Peter A. Thomassen, Grand multiparity as an obstetric risk factor; a prospective case-control study, European Journal of Obstetrics & Gynecology and Reproductive Biology, 10.1016/0028-2243(92)90152-O, 47, 3, (201-205), (1992). Objective: To compare the obstetrical and neonatal complications among women who had previously delivered five or more times (grand multiparous, GMP, Para5 and above) with those who had previously delivered one, two and three times. The problem of grandmultiparity in current obstetric practice. Background: The Total Fertility Rates have declined below the replacement rates globally and in the industrialized countries. Problems related to multiparity. Grand multiparity is a rare issue in developed countries, but it is still common in developing countries like Pakistan. This study is based on 5785 cases of GM which were treated in our Obstetrical Department during a period of 16 years (1960 – 1975). Too much childbirth is associated with increased adverse obstetric outcomes and socioeconomic implications. The problems of grand multiparity. Context: Grandmultiparity is considered high-risk because of the associated maternal and fetal complications. 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