Open AccessFREQUENCY OF FETO-MATERNAL COMPLICATIONS AND MORTALITY IN GRAND MULTI PARA WOMEN
Author(s) -
Saiqa Noor
Publication year - 1969
Publication title -
journal of saidu medical college
Language(s) - English
Resource type - Journals
ISSN - 1819-4583
DOI - 10.52206/jsmc.2014.4.2.555-559
Subject(s) - medicine , antepartum hemorrhage , obstetrics , antepartum haemorrhage , pregnancy , caesarean section , population , uterine rupture , eclampsia , fetus , obstructed labour , anemia , pediatrics , uterus , genetics , environmental health , biology
BACKGROUND: Grand multipara is the woman, who has given birth to five or more viable infants.Grand multiparity (GMP) in relation to obstetric performance is labeled as high risk: a pregnancy inwhich there is a factor maternal or fetal that will adversely affect the outcome of pregnancy.OBJECTIVE: To observe the frequency of different maternal and fetal complications associated withgrand multiparityMETHODOLOGY: A prospective, descriptive type of study conducted at Gynae ‘A’ Unit,Postgraduate Medical Institute, Lady Reading Hospital Peshawar from January 2008 to December 2008.All admitted antenatal patients who had five or more viable pregnancies were included in the study. Allpossible maternal and fetal complications were looked for and complete examinations of the neonateswere done in liaison with pediatrics unit.RESULTS: Amongst the hundred GMP women, 58% of the women had parity of 5 to 7, 37% had 8 to10 children while 5% had more than 10 viable pregnancies. Total 56% patients had normal vaginaldeliveries while 17 patients had C-section. Anemia, hypertension, diabetes, mal-presentation andantepartum hemorrhage were common prenatal complications.Prolonged and obstructed labour 8%, postpartum haemorrhage 8%, precipitate labour 5%, cord prolapse2%, ruptured uterus 2%, shoulder dystocia 1% and retained placenta 1%, were different complications.The major fetal complications seen were macrosomia, birth injuries, frequent neonatal ICU admissions,major congenital abnormalities and perinatal deaths. Total perinatal deaths were 07%, total maternalmortality was 03%, two women died due to severe haemorrhage while one died due to eclampsia.CONCLUSION: There is still high frequency of grand multiparity in our population which isassociated with frequent maternal and fetal complications. This leads to high maternal and fetalmortality.KEY WORDS: Grand Multiparity, Maternal complications, Fetal Complications, Maternal Mortality,Fetal Mortality.