While the woman became pregnant five times, only four of the pregnancies lasted beyond 20 weeks and resulted in viable births. WebGrand Prairie. 2019;46(2):250257. Following the approval, an official letter of cooperation was written to concerned bodies in the data collection areas. Terms of Use. doi:10.1371/journal.pone.0236965, 54. Matern Child Health J. We recommend that the region and districts health bureau should give close monitoring for pregnant women with high parity throughout their prenatal, intrapartum, and postpartum periods.Keywords: birth complication, parity, fetal abnormality, cohort, Sidama, Ethiopia, Grand multiparity is a condition when a woman has at least five deliveries at gestational age greater than or equal to 20 weeks.13 In many developed countries, grand multiparity is becoming less of a concern with a low prevalence of 24% whereas it is still a public health issue of great concern in developing countries and is a high prevalence of 19%.46, Low-and-middle-income countries including Ethiopias grand multiparity have still relatively high perinatal outcomes complications compared to high-income countries.79 Evidence has shown that grand multiparity increases the incidence of medical and obstetric complications such as anemia, birth asphyxia, preterm birth, low birth weight, macrosomia, low APGAR scores, stillbirth, and a high perinatal mortality rate.1013 With this connection, grand multipara is associated with higher risks factors of medical and obstetric complications for mothers and fetuses.4,7,1416. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). A woman who is considered to be a multipara has experienced two or more viable pregnancies. Pelvic assessment should be done as a routine. Terms of Use. Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications (malpresentation, In the present study, we found that the cumulative incidence of adverse perinatal outcomes was significantly higher in grand multiparous women than multiparous women. 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. World Health Organization. Therefore, this study aimed to investigate adverse perinatal outcomes of grand multiparity in selected public hospitals in the Sidama Regional State of Ethiopia. Accessibility Accessed March 4, 2022. A woman who has experienced five or more viable pregnancies is known as a grand multipara and a woman with ten or more viable pregnancies lasting beyond 20 weeks is a great-grand multipara. india, High risk approach in maternal and child health, Dimitra Dubrow - Maurice Blackburn Lawyers, Precautions after ivf pregnancy , lifecare centre ,IVF icsi, Intrauterine growth restriction Intrauterine growth restriction. Grand multiparous Saudi females have similar risks of maternal and neonatal complications compared to the other parity groups. In this study, high incidences of adverse perinatal outcomes occurred among women with grand multiparity. Maternal and fetal outcomes of labor in grand-multipara women. Further, we recommend that the researchers conduct studies about the effect as early as start to follow up grand multigravida on the adverse perinatal outcomes. Gebremeskel F, Gultie T, Kejela G, Hailu D, Workneh Y. Determinants of adverse birth outcome among mothers who gave birth at hospitals in Gamo Gofa Zone, Southern Ethiopia: a facility based case control study. Unauthorized use of these marks is strictly prohibited. Which of the following outcomes indicates that the medication is effective? Roy I, Burande A, Choubey R. Obstetric outcome in grand multiparaa Meghalaya experience. Recommend this site 2017;6(2):28462851. Activate your 30 day free trialto continue reading. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd. doi:10.1186/s12887-019-1835-6. Epub 2006 Jul 13. 2018;15(1):193. doi:10.1186/s12978-018-0631-3, 38. A majority (59.1%) of the women were anemic. Med Arch. The literature shows that grand multipara mothers are major contributors to poor maternal and perinatal health compared to multipara mothers. Learn More Request Appointment 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). Which finding on assessment should the nurse prioritize? 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. The authors declare that they have no conflicts of interest for this work. john wiley & sons; 2013. This site needs JavaScript to work properly. The questionnaires were prepared following a thorough review of different kinds of published literature.7,12,13,17,18,2840 The interview questionnaires of participants contain the clients information, socio-demographic factors, obstetrics, and reproductive health history characteristics, maternal health services use during a current and previous pregnancy, nutritional status of women, and adverse perinatal outcome parts. 22 chapters | Alwan BA, Abdulridha AS. 1999 Sep;181(3):669-74. doi: 10.1016/s0002-9378(99)70511-9. Parity refers to viable pregnancies that last beyond 20 weeks. Effect of Grand Multiparity on Pregnancy Outcomes in Women Under 35 Years of Age: a Comparative Study. 972-854-0009. - Definition, Test & Normal Levels, Testicular Cancer: Symptoms, Treatment & Causes, Early Development to Childbirth: Help and Review, Middle School Life Science: Tutoring Solution, Middle School Life Science: Help and Review, High School Physical Science: Tutoring Solution, NY Regents Exam - Chemistry: Help and Review, CSET Foundational-Level General Science (215) Prep, UExcel Anatomy & Physiology: Study Guide & Test Prep, SAT Subject Test Chemistry: Practice and Study Guide, ILTS Science - Environmental Science (112): Test Practice and Study Guide, Study.com ACT® Test Prep: Practice & Study Guide, Potassium Bromide: Formula & Side Effects, What is a Benign Tumor? 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. Maternal grand multiparity and intention to use modern contraceptives in Nigeria. This finding is consistent with the previous studies which were conducted in Iraq, Jordan, Saudi Arabia, and Ethiopia.14,17,22,30 Conversely, there were no statistically significant differences in adverse perinatal outcomes between grand multiparous and multiparous women as the studies conducted in rural Cameroon and Ethiopia.2,12 The possible explanation might be due to the quality of health care, trained health personnel, and application of different standard protocols for proper management of health care services from pregnancy to delivery.2, The present study revealed that preterm birth was significantly higher among grand multiparous (23.6%). Grand By contrast, the term primipara is used to describe women who have experienced one viable pregnancy. With modern obstetric management protocols, grand multi-parity does not appear to be an obstetric risk factor. The process of birthing a child does not go without risk, emphasizing the importance of understanding a woman's obstetrical history to determine the potential risks exposed before, during, or after a pregnancy. doi:10.1111/j.0730-7659.2005.00344.x, 4. Data were cleaned for missing values and inconsistencies. In addition, those women with grand multiparity who delivered at another facility (outside the included hospitals) were also excluded as it was difficult to know the perinatal outcomes. multiparity. 2018 Oct 29;18(1):1207. doi: 10.1186/s12889-018-6130-1. Its like a teacher waved a magic wand and did the work for me. D.) Increase in prothrombin time. MATERIAL AND METHODS Similar to multiparity, the term multigravida can be used to elaborate on women who have experienced two or more pregnancies. The datasets used during this study are available from the principal investigator on reasonable request. Javascript is currently disabled in your browser. 1. Non-diabetic fetal macrosomia: outcomes of elective delivery versus expectant management. Regular HYPOTHESIS: Obstetrical complication are more in grand multiparae than the low parity women. Grand multiparity: obstetric performance in Aminu Kano teaching hospital, Kano, Nigeria. Al-Farsi YM, Brooks DR, Werler MM, Cabral HJ, Al-Shafaee MA, Wallenburg HC. [2]On the other hand, in developed countries with improved and optimal obstetric services, parityper seis no longer considered a significant risk for adverse obstetric and perinatal outcomes. Tsegaye B, Kassa A. MedTerms online medical dictionary provides quick access to hard-to-spell and often misspelled medical definitions through an extensive alphabetical listing. 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. Qual Eng. 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. - Definition, Causes & Treatment, What Is Eclampsia? Saudi J Health Sci. Review of pregnancy outcomes in grand multiparous Qatari women: a retrospective cohort study. Data regarding parity profiles are essential, especially in rapidly transforming countries such as the United Arab Emirates (UAE). Also, detailed pregnancy history was gathered, including pre-existing medical conditions. WebGrand Prairie. Several features of
Adane AA, Ayele TA, Ararsa LG, Bitew BD, Zeleke BM. Neonatal Intensive Care Unit (NICU) training management protocol; 2014. Normal purperium physiology Duration. Qual Prim Care. 2018;30(2):118. doi:10.5455/msm.2018.30.118-120, 20. The https:// ensures that you are connecting to the Babinszki A, Kerenyi T, Torok O, Grazi V, Lapinski RH, Berkowitz RL. 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. Effect of Parity on Pregnancy-Associated Hypertension Among Asian American Women in the United States. Eugene MI, Abedinego OA. Parity is the medical term used to describe pregnancies lasting greater than 20 weeks, while the term gravidity is used to describe a number of pregnancies in general. [2]The pregnancy outcomes among the grand multiparae depend on the level of obstetric care in the environment,[2],[3],[6]because it is known that in childbearing practice does not make perfect. Determinants of adverse birth outcome in Tigrai region, North Ethiopia: hospital-based case-control study. WebPhysicians of Grand Prairie 3121 S. Carrier Pkwy Grand Prairie, TX 75052. Now customize the name of a clipboard to store your clips. Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC Free access to premium services like Tuneln, Mubi and more. History, labor and delivery as well as postpartum and neonatal courses Professor Elie Al-Chaer, Tamirat Tesfaye Dasa,1,2 Michael A Okunlola,3 Yadeta Dessie4 1Department of Reproductive Health Sciences, Life and Earth Sciences Institute (Including Agriculture and Health), Pan African University, Ibadan, Nigeria; 2Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia; 3Department of Obstetrics and Gynaecology, College of Medicine, University College Hospital, University of Ibadan, Ibadan, Nigeria; 4School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaCorrespondence: Tamirat Tesfaye Dasa, Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, P.O. doi:10.1371/journal.pone.0218259, 37. And Human Services ( HHS ), TX 75052 including pre-existing medical conditions, an official of! 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