| Autor: |
Phyllis C. Leppert, Ibrahima Teguete, Amelia W. Maiga |
| Rok vydání: |
2012 |
| Předmět: |
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| Zdroj: |
Acta Obstetricia et Gynecologica Scandinavica. 91:580-586 |
| ISSN: |
0001-6349 |
| DOI: |
10.1111/j.1600-0412.2012.01372.x |
| Popis: |
OBJECTIVE: To analyze the association between grand multiparity and maternal and neonatal morbidity and mortality. DESIGN: Retrospective cross-sectional study. SETTING: Point G National Hospital a tertiary care hospital in Bamako Mali. POPULATION: All singleton births from 1985 to 2003. METHODS: Cross-sectional study of 13 340 singleton births at a tertiary care hospital in Mali (1985-2003) compared outcomes between 3617 grand multiparas (para >/=5) and 9723 pauciparas (para 1-4). Odds ratios (OR) were adjusted for maternal age prenatal care utilization socioeconomic status and region of origin. MAIN OUTCOME MEASURES: Maternal mortality perinatal mortality placental abnormalities (previa and abruption) uterine rupture postpartum infection postpartum hemorrhage eclampsia cesarean delivery mean birthweight low birthweight high birthweight. RESULTS: Grand multiparas were older poorer and less likely to have accessed prenatal care. Grand multiparas had a lower adjusted odds of maternal death (adjusted OR 0.66; 95%CI 0.45-0.97) but higher adjusted odds of perinatal death (adjusted OR 1.33; 95%CI 1.12-1.59) placental abnormalities (adjusted OR 1.57; 95%CI 1.21-2.05) and high birthweight (adjusted OR 1.42; 95%CI 1.05-1.92). CONCLUSIONS: The healthy person effect may explain grand multiparas lower odds of maternal death. Reducing grand multiparity and improving grand multiparas access to prenatal care may improve population-level perinatal outcomes. (c) 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica(c) 2012 Nordic Federation of Societies of Obstetrics and Gynecology. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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