Blood pressure 120/80. Omole-Ohonsi A, Ashimi A. 45. Regular monitoring of blood pressure and blood sugar level is done Antenatal ultrasound scan should be offered to detect any abnormalities and asses fetal weight The grand Which of the following outcomes indicates that the medication is effective? Maternal grand multiparity and intention to use modern contraceptives in Nigeria. 36. For reference, the term primipara elaborates on women who have experienced one viable pregnancy. A score below 7 at the first minute of life was considered as having first-and fifth-minute birth asphyxia.47. 2. official website and that any information you provide is encrypted 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. Registered in England and Wales. International Statistical Classification of Diseases and Related Health Problems, Tenth Revision. 1996-2023 MedicineNet, Inc. An Internet Brands company. Alwan BA, Abdulridha AS. doi:10.1371/journal.pone.0218259, 37. Corbett GA, Hunter S, Javaid A, McNamee E, O'Connell M, Lindow SW, Martin A. Ir J Med Sci. Human Anatomy & Physiology: Help and Review, Anatomy and Physiology of Male and Female Reproductive Systems: Help and Review, What Is a Hysterectomy? Grandmultiparity. Which of the following outcomes indicates that the medication is effective? Hence, all women were admitted for delivery to the participating hospitals during the study period. 2019;19(1):17. 2022 The Author(s). Its like a teacher waved a magic wand and did the work for me. Regular The overall cumulative incidence of adverse perinatal outcomes was 33% (95% CI: 29.9%, 36.4%). Grandmultiparity: is it really an independent predictor of adverse pregnancy outcomes? The occurrence of multicollinearity among explanatory variables was ensured using the Variance Inflation Factor at a cut-off point of 1048 and there was no multi-collinearity. In addition, social, cultural, economic, and religious factors affect the prevalence of grand multiparity. Normal purperium physiology Duration. As a natural health doctor, she helps you learn WebOf these, 224 (17.9%) were grand multiparas (GM) defined as mothers of parity greater than or equal to 6. By accepting, you agree to the updated privacy policy. The funding organization had no role in the design of the study and collection, analysis, and interpretation of data, or in writing the manuscript; this was the role of the authors. 214-294-6100. Permission was obtained from the Sidama Regional Health Bureau. 44. Create your account. 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. Geneva: World Health Organization; 2012. Qualified and trained health professionals were recruited as data collectors and supervisors. 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. May 19, 2018 * $30,000 Grand Prix of Tyler May 26, 2018 * $40,000 Grand Prix of Fort Worth May 28, 2018 * $30,000 Grand Prix of Dallas high-quality All rights reserved. LOW MULTIPARAE: Low multiparae is woman who has delivered less than five (para 1-4). A.) For each hospital, the sample was allocated an appropriate sample size by using the probability proportional to sample size considering hospital clients follow-up from last years delivery admission reports. No significant differences were found among the three groups for preterm or post-term births, small-for-gestational-age infants, polyhydramnios, oligohydramnios, perinatal death, fetal distress, multiple births, placenta previa, abruptio placentae or cord prolapse. Int J Reprod Contracep Obstet Gynecol. An official website of the United States government. BMC Pregnancy Childbirth. Federal government websites often end in .gov or .mil. doi:10.1111/j.0730-7659.2005.00344.x, 4. The Sidama region has 17 hospitals (12 primaries, 4 general, and 1 comprehensive referral hospital). Also, compared to women of low parity, grand multiparous women are at higher risk of having stillbirths, preterm delivery, and big babies. doi:10.18203/2320-1770.ijrcog20172562, 33. Woday A, Muluneh MD, Sherif S. Determinants of preterm birth among mothers who gave birth at public hospitals in the Amhara region, Ethiopia: a case-control study. 53. 46. Learn what is multipara and when grand multiparity occurs. We collected 3656 May 19, 2018 * $30,000 Grand Prix of Tyler May 26, 2018 * $40,000 Grand Prix of Fort Worth May 28, 2018 * $30,000 Grand Prix of Dallas high-quality educational and entertaining family experiences through effective and efficient management of its resources. After adjusted for confounders, women with grand multiparity gave birth to babies with a higher risk of stillbirth (ARR = 1.6; 95% CI: 1.01 2.51), macrosomia (ARR = 1.6; 95% CI: 1.23 2.07), and preterm birth (ARR = 1.3; 95% CI: 1.1 1.66) compared to their counterparts.Conclusion: High incidences of adverse perinatal outcomes occurred among women with grand multiparity. doi:10.9734/JAMMR/2018/42931. World Health Organization; 2004. In terms of immediate newborn complications, this study showed that there was no statistical difference in the two groups as regards the Apgar< 7 score at 1 minute, birth trauma, birth asphyxia, admission to neonatal intensive care unit, perinatal complication, and sex of newborn. Hailemichael HT, Debelew GT, Alema HB, Weldu MG, Misgina KH. Geneva: World Health Organization; 2004. The study was conducted in Sidama Regional State, Ethiopia. In communities where large family is desirable it is important to address the value of family planning and conduction of meticulous antenatal care. Our objectives were to evaluate the management of GMP in contemporary obstetrics and to assess whether grand multiparas are still high-risk patients. Advanced maternal age is also important to understand from the perspective of multigravida, when multiple pregnancies take place in the same uterus. I would definitely recommend Study.com to my colleagues. 2012;91(5):580586. Data regarding parity profiles are essential, especially in rapidly transforming countries such as the United Arab Emirates (UAE). In multivariate Poisson regression modelling, the risk of having stillbirth was significantly increased in women with grand multiparity compared to multiparity adjusted relative risk (aRR) = 1.6; 95% CI: 1.01,2.51), macrosomia (aRR = 1.6; 95% CI: 1.232.07), preterm delivery (aRR = 1.35% CI: 1.11.66) (Table 3). In this study, high incidences of adverse perinatal outcomes occurred among women with grand multiparity. Grand multipara: The term "multipara" applies to any woman who has given birth 2 or more times. The advantages of using the modified Poisson regression model include improved precision for estimation of relative risk, robustness to omitted covariates. 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. 2006 Aug;23(6):345-9. doi: 10.1055/s-2006-947158. [1],[2],[3],[4],[5],[6]The problem of grand multiparae in developing countries is compounded by a high prevalence of low socioeconomic status, poor female literacy, and social deprivation, as well as inadequate performance of family planning initiatives. 50. 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. Contact Us The medical records, labor and delivery charts were retrospectively reviewed to identify grand multiparous women with previous cesarean section. Recommend this site Register your specific details and specific drugs of interest and we will match the information you provide to articles from our extensive database and email PDF copies to you promptly. A woman who has had two pregnancies would be considered multigravida, but if only one pregnancy was full-term, she would only be considered primipara and noted as "gravidity 2" (two pregnancies) "parity 1" (only one pregnancy lasting beyond 20 weeks). 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. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. Grand multipara: The term "multipara" applies to any woman who has given birth 2 or more times. Prevalence of adverse birth outcome and associated factors among women who delivered in Hawassa town governmental health institutions, south Ethiopia, in 2017. 9. Increase in prothrombin time. STATA Version 14 was used for analysis.Results: The overall cumulative incidence of adverse perinatal outcomes was 33% (95% CI: 29.9%, 36.4%). Activate your 30 day free trialto unlock unlimited reading. Grandmultiparity: evaluating obstetric and neonatal outcomes after eliminating confounders; 2014. doi:10.1515/9783110208856.233. 1. WebGrand multiparity was higher among women with primary level of education (48.0% versus 44.7%), secondary education (42.0% versus 32.0%) and no formal education (4.7% versus 2.0%) than their control. The root "primi-" means "one" within this context. 2003;67(1):111. 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. 2020;12(1):11. The Chi-square test for parity and perinatal outcomes is shown in Table 2. 1997 Sep;76(8):755-9. doi: 10.3109/00016349709024342. Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC Close to two-thirds (63.1%) of the multiparous women and more than three-fourths (75.7%) of the grand multiparous women were housewives. Watterberg KL, Aucott S, Benitz WE. WebManagement In antennal care good nutrition, prophylactic and therapeutic iron and folic therapy to prevent and treat iron and folic acid deficiency anemia is must. Ethiopia J Reprod Health. - Definition, Symptoms & Treatment, What Is PID? Vaccine. We've updated our privacy policy. Ftwi M, Gebretsadik GG-E, Berhe H, et al. The healthcare system in Croatia is socially oriented, especially for women and children, where 6-10 prenatal visits including 4 ultrasound examinations are common. 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). Al-Shaikh GK, Ibrahim GH, Fayed AA, Al-Mandeel H. BMC Pregnancy Childbirth. Am J Obstet Gynecol. The first sign of pregnancy is most often: MedTerms medical dictionary is the medical terminology for MedicineNet.com. Federal Ministry of Healthof Ethiopia. 28. The region is divided into 36 districts (6 urban districts and 30 rural districts) with one Hawassa city administration. 2019;46(2):250257. In some previous studies [2,3], one of main perinatal complications associated with precipitous labor has been reported to be placental abruption, because placental abruption can cause tachysystole, and thus shorter deliveries. The strength of our study was its prospective nature, control of confounding factors, and low loss to follow-up. doi:10.1186/s12884-019-2377-5. By accessing the work you hereby accept the Terms. Acta Obstet Gynecol Scand. Create an account to start this course today. 2018 Oct 29;18(1):1207. doi: 10.1186/s12889-018-6130-1. Associations & Partners Bookshelf Review of pregnancy outcomes in grand multiparous Qatari women: a retrospective cohort study. The overall cumulative incidence of adverse perinatal outcomes was 33% (95% CI: 29.9%, 36.4%). Khatun J. Obstetrical outcome of grand multipara. BMC Public Health. Call Us: (972) 266-5354. 3. Entered data was exported to STATA 14 version software for analysis. Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms. Qual Eng. 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. 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. 35. This finding is similar to the study conducted in Tanzania.7 In some research reports in Jordan, preterm delivery is not associated with grand multiparity.30 The possible explanation might be women get good quality of modern medical and obstetrics services as well they have adequate knowledge on maternal and child health.30, The finding revealed that the risk of stillbirth was higher with grand multiparity. Ajong AB, Agbor VN, Simo LP, Noubiap JJ, Njim T. Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes. 620 S. Main, Suite 100 Keller, Texas 76248. Med Arch. The association of grand multiparity and poor pregnancy outcome has not been consistent for decades. Pak Armed Forces Med J. This work is published and licensed by Dove Medical Press Limited. 1996-2021 MedicineNet, Inc. All rights reserved. Moreover, there is limited data about the impact of grand multiparity on perinatal outcomes in the study area. 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. Chronic existing diabetes before the last pregnancy and GDM rates were comparable, but significantly more grand multiparas required insulin treatment. 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). - Definition, Causes & Treatment, What Is Eclampsia? Before The age of the grandmultiparas was significantly higher compared with the control groups, which may explain the higher incidence among them of antenatal medical disorders, such as Solanke BL, Banjo OO, Oyinloye BO, Asa SS. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. Family dynamics after child-birth. Grand Prairie, Texas 75052. management was done by the on call team comprising of one specialist obstetrician, three grand multipara compared to 61.2% in control group. There was no statistically significant difference between the grand multiparous and multiparous women in the body mass index ( Table 1 ). 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." We offer real benefits to our authors, including fast-track processing of papers. The data collection tools were developed in the English language, then translated into the local language (Amharic) by language experts. Maternal and fetal outcomes of labor in grand-multipara women. With good obstetric care there should be no adverse effects on the mother or the newborn. 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Free trialto unlock unlimited reading and perinatal outcomes in grand multiparous women the!, a woman increases the risk of complications during other pregnancies, labor, and delivery charts were reviewed... ; 18 ( 1 ):1207. doi: 10.3109/00016349709024342 and conduction of meticulous antenatal.! Retrospectively reviewed to identify grand multiparous women in the body mass index Table! In Sidama Regional Health Bureau overall cumulative incidence of adverse pregnancy outcomes to our authors, including fast-track processing papers! Association of grand multiparity ; 76 ( 8 ):755-9. doi:.. Mcnamee E, O'Connell M, Lindow SW, Martin A. Ir J Med Sci grand.