Anemia was the leading predelivery complication for the study group (16.6% vs. 3.5% for total deliveries). Great-grand multipara refers to a woman who has had 10 or more viable pregnancies. > MATERNAL COMPLICATIONS IN GRAND MULTIPARA. Download the PDF file . For the grand multipara, the rate of spontaneous abortion was higher (24%) compared to total deliveries (13%) in that hospital during the study period. Preeclampsia followed as the 2nd leading complication (6.1% vs. 5.2% for total deliveries). Great grand multipara have been reported to have an increased incidence in obstetric complications such as fetal malpresentation, placental abruption, dysfunctional labor and postpartum hemorrhage. A grand multipara is a woman who has already delivered five or more infants who have achieved a gestational age of 24 weeks or more, and such women are traditionally considered to be at higher risk than the average in subsequent pregnancies. Most of the studies9,13,14 conducted over the last few Also other complications like hypertension and diabetes were significantly higher in grand multipara than non grand multipara. Evaldson12et al also observed the higher frequency of diseases like diabetes and hypertension in the grand multipara group. Grand multiparity has been associated with an array of obstetrical complications, but with appropriate medical care, many grand multiparas have very successful pregnancies. The term, grand-multipara was introduced in 1934 by Solomon who called the grand-multipara the “dangerous The grand multipara--maternal and neonatal complications. 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. These authors reported a similar rate of complications. an obstetric complication for both mother and fetus, although recent studies indicate that, with proper peri-natal care, women with high-parity rates are no longer at high risk in developed countries. Acta Obstet Gynecol Scand 1987;66:53–6. One mother in the grand multipara group died from dissecting aortic aneurysm during the puerperium. Citing Literature. Issue 1, Vol 22 Post navigation. grand multipara. Risk factors in extreme grand tiparous women. May 9, 2016 May 9, 2016 admin. EFFECT OF PAPAYA SEEDS ON QUANTITATIVE HEMOGLOBIN ANALYSIS IN ANIMAL MODEL. obstetrical complications in multiparous and grand mul- [13] Fayed HM, Abib SF, Stevens B. The grand multipara-maternal and neonatal different results. Study Design: Cross Sectional Study Setting: Department of Gynecology & Obstetrics at Liquate University of Medical & Health Science Hyderabad, Period: October 2011 to September 2012. 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