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Aims and Objectives: To compare the incidence of feto-maternal complications of pregnancy and labor between grandmultiparas and multiparous women. Material and Methods: This prospective study was carried out in the Departments of Obstetrics and Gynaecology in two hospitals in Khartoum state (Omdurman Maternity Hospital, and Khartoum North Teaching Hospital), in the period from January 2010 to June 2010. A total of 450 deliveries in the two hospital were divided in two groups (150 grandmultiparas and 300 multiparas) in whom the maternal and fetal outcomes were analyzed and compared. Results: It was found that in the GMPs there were increase in age more than 35 years 38% vs 9% (p 0.05), preterm labour 16.0 vs. 12.7% (p>0.05), overall APH 8.7% vs 5.7% (p 0.05), and SVD 76.7% vs 60.3% (p 0.05), LBW 7.2% vs 11.0%, the (p 0.05 Other than birth weight, there was no significant differences in fetal outcomes, we found that, still birth 10.1% vs 10.0% and babies distressed 3.2% vs 4.2%. Keyword: grandmultipara, multiparous, maternal outcome, fetal outcome, placenta previa, abrubtio placentae,caesarean section.

Maternal and Fetal Outcome of Grandmultipara in Comparison to Multiparous Woman in Two hospital in Khartoum State