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Impact of grandmultiparity on obstetric outcome in low resource setting
Author(s) -
Agrawal Smriti,
Agarwal Anjoo,
Das Vinita
Publication year - 2011
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2010.01476.x
Subject(s) - medicine , placenta previa , obstetrics , parity (physics) , pregnancy , gynecology , obstructed labour , low birth weight , placenta , fetus , caesarean section , genetics , physics , particle physics , biology
Aim: This study was undertaken to evaluate the impact of grandmultiparity on obstetric outcome in a low resource setting. Material & Methods: Two hundred and eighty‐two antenatal grandmultiparous women (parity ≥ 4) were compared with consecutive 564 antenatal women with parity 1–3. Results: There were 13 403 deliveries over the study period from Jan 2006–December 2008 at CSMMU, Lucknow. The prevalence of grandmultipara was 2.3%. Grandmultipara were older ( P < 0.001) and more commonly from rural areas ( P < 0.001) as compared to the control group. The percentage of Muslims among grandmultipara (23.8%) was higher than among controls (16.5%), P < 0.01. Grandmultipara had significantly higher prevalence of anemia ( P < 0.001), malpresentation ( P = 0.01) and rupture uterus ( P < 0.001). Abruptio placenta, placenta previa and obstructed labor were seen more often in grandmultipara, and the difference was statistically significant ( P < 0.01 in each group). There was no difference in terms of mode of delivery, sex of newborn or the prevalence of low birthweight (<2.5 kg) babies. Stillbirths were more common in grandmultiparas ( P < 0.001). There was one maternal death in the study group. Conclusion: Grandmultiparity continues to be of grave concern with an adverse impact on obstetric and perinatal outcome.