Grand Multiparity: Obstetric Outcome in Comparison with Multiparous Women in a Developing Country
| Autor: | Sylvester Etenikang Abeshi, CI Emechebe, CO Njoku |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Gynecology
medicine.medical_specialty Pregnancy 030219 obstetrics & reproductive medicine genetic structures Obstetrics Grand multiparity business.industry education Cell volume Developing country Mean age medicine.disease 03 medical and health sciences 0302 clinical medicine Primary postpartum hemorrhage medicine Pregnancy induced 030212 general & internal medicine business Parity (mathematics) |
| Zdroj: | Open Journal of Obstetrics and Gynecology. :707-718 |
| ISSN: | 2160-8806 2160-8792 |
| DOI: | 10.4236/ojog.2017.77071 |
| Popis: | Grand-multiparity is a serious risk factor in pregnancy and common in developing countries. The objective was to compare the obstetric outcome of grand-multiparous women with that of low parity in our center. The study comprised of 150 grand-multiparous women (cases) and 150 multiparous women (para 2 - 4) in this index pregnancy as controls matched for age and admitted for delivery. The mean age of the grand-multiparous women at delivery was 37.0 ± 2.8 years. Grand-multiparity was significantly higher among women with only primary education (48.0% versus 44.7%), polygamous marriages (9.3% versus 3.3%) and Muslims (17.3% versus 6.7%). Pregnancy induced hypertension and primary postpartum hemorrhage were significantly more often seen among grand-multiparous women than among the controls. The mean packed cell volume before delivery in the grand-multiparous women was significantly lower (33.6% ± 2.7%) than in the multiparous group (35.2% ± 2.7%) (P-value = 0.000). Grand-multiparity with its associated complications still occurs frequently in our environment. However, with adequate antenatal surveillance, optimal care during labour and contraceptive use, these problems will be reduced. |
| Databáze: | OpenAIRE |
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