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The problem of grandmultiparity in current obstetric practice
Author(s) -
Mwambingu F.T.,
Al Meshari A.A.,
Akiel A.
Publication year - 1988
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(88)90329-3
Subject(s) - medicine , socioeconomic status , pregnancy , obstetrics , retrospective cohort study , antepartum hemorrhage , anemia , gestational diabetes , pediatrics , diabetes mellitus , heart disease , gestation , population , surgery , environmental health , genetics , biology , endocrinology
A retrospective analysis of 646 Arab grandmultiparas who booked for hospital confinement between 1983 and 1985 was carried out. The results were compared with that of non‐grandmultiparas during the same period. In the grandmultiparas, the incidences of gestational diabetes, hypertension rheumatic heart disease, antepartum, postpartum hemorrhage and macrosomic infants were increased. However, contrary to some previous reports the incidences of anemia, cesarean sections, induced labor, dysmaturity and perinatal deaths were decreased. This is thought to be due to the provision of modern specialist perinatal care and improved socio‐economic standards.