Details of a womans gravidity and parity are important. Dr. Barbara E. Austin, ND, is a doctor of Naturopathy. Pak Armed Forces Med J. Data were cleaned for missing values and inconsistencies. WebA nurse has administered Methergine (methylergonovine) 0.2 mg po to a grand multipara who delivered vaginally 30 minutes earlier. While the woman became pregnant five times, only four of the pregnancies lasted beyond 20 weeks and resulted in viable births. Table 1 Selected Socio-Demographic and Obstetrics Characteristics with Grand Multiparity in Sidama Regional State of Ethiopia, 2021. Adverse perinatal outcomes or complications were defined as the presence of either or more of the following: stillbirth, low birth weight, macrosomia, preterm, admission to neonatal intensive care unit (ICU), and first-minute birth asphyxia in women giving birth more than five or more and less than five births. Grand multiparous (GMP) defined as parity 5 with single post-caesarean lower segment uterine scar admitted at a gestational age of 37 completed weeks and In order to simplify the complicated information that must be understood, specific medical terminologies such as "multipara," "grand multipara," and "multigravida" are used to describe obstetrical history. BMC Pregnancy Childbirth. Adding a 10% loss rate, the final sample size required for the study was 279 exposed and 558 non-exposed women: a total of 837 women were included in this study. Which of the following outcomes indicates that the medication is effective? Craney TA, Surles JG. Adverse birth out comes and associated factors among delivered mothers in Dessie referral hospital North East Ethiopia; 2018:16. The term multipara is used to describe the number of pregnancies and child births that a woman has experienced. 214-294-6300. Moreover, there is limited data about the impact of grand multiparity on perinatal outcomes in the study area. Furthermore, 9.6% of newborn babies from women with grand multiparity and 4.4% from multiparity were stillbirth (P<0.001). Unable to load your collection due to an error, Unable to load your delegates due to an error. WebAbstract. Likewise, low birth weight was higher among women with grand multiparous than multiparous women (21.0% vs 14.2%, p=0.014). - Function, Operation & Definition, HELLP Syndrome: Definition, Symptoms & Treatment, What Is Amenorrhea? 2016;5(3):788792. - Definition, Age & Growth, What is Menopause? Gravidity is the medical term used to describe the number of times that a woman has been pregnant. 2002;14(3):391403. Increase in prothrombin time. You can read the details below. Singh S, Chawan J, Mangla D. A descriptive study: maternal and fetal outcome of grand multipara. LOW MULTIPARAE: Low multiparae is woman who has delivered less than five (para 1-4). This site needs JavaScript to work properly. Sarah has taught nursing courses and has a master's degree in nursing education. The region has 123 health centers and 17 hospitals (one comprehensive referral hospital, four general hospitals, and 12 primary hospitals). Our objectives were to evaluate the management of GMP in contemporary obstetrics and to assess whether grand multiparas are still high-risk patients. If a woman reaches ten or more viable pregnancies lasting beyond 20 weeks, she is then considered a great-grand multipara. Dr. Barbara E. Austin, ND, is a doctor of Naturopathy. J OBGYN. For example, a woman who has experienced two full-term pregnancies and has given birth twice would be noted as "parity 2" because both pregnancies advanced beyond 20 weeks. In communities where large family is desirable it is important to address the value of family planning and conduction of meticulous antenatal care. Pulse rate 80 bpm and regular. 3095 Kingswood Blvd. Khatun J. Obstetrical outcome of grand multipara. 2019 Apr;73(2):92-96. doi: 10.5455/medarh.2019.73.92-96. Maternal mortality fell by almost half between 1990 and 2015; 2017. World Health Organization. Int J Womens Health. We have also excluded women with multiple pregnancies, Primigravida, chronic illness related to pregnancy, great grand multiparity (women who give birth more than ten), women who are mentally or critically ill and unable to communicate were excluded from the study because of the adverse perinatal outcome more occurred. Birth asphyxia is defined as failure to initiate and sustain spontaneous breathing at birth.45,46 To grade, the severity of perinatal asphyxia in newborns, the Apgar score was used. Family dynamics after child-birth. doi:10.21276/obgyn.2019.5.2.8, 14. A higher number of pregnancies and births relate that the uterus becomes less efficient at expanding and contracting in size during and after a pregnancy in order to return to normal volume. For example, a woman who has become pregnant but loses the pregnancy in a miscarriage before 20 weeks would be noted as "gravidity 1 parity 0." Terms & Conditions 2019;14(11):e0225060. Therefore, this study aimed to investigate adverse perinatal outcomes of grand multiparity in selected public hospitals in the Sidama Regional State of Ethiopia. Blood pressure 120/80. The majority of grand multiparous women (72.2%) and multiparous women (58.5%) were aged between 2534 years. Table 2 Association Between Parity and Perinatal Birth Outcomes Among Study Participants in Sidama Region of Ethiopia, 2021. 3095 Kingswood Blvd. A modified Poisson regression model with robust standard errors was applied to estimate the adjusted risk ratio and its 95% CI of the risk factors for adverse perinatal outcomes to examine the association of the multi-parities with the adverse birth outcome. Thus, our results indicate that good perinatal care can ensure better results in grandmultiparas, and that grandmultiparity no longer needs to be considered a high-risk obstetric category in our population. 2019;10(8):20012006. WebGrand Prairie. B.) Register your specific details and specific drugs of interest and we will match the information you provide to articles from our extensive database and email PDF copies to you promptly. The inclusion criteria for the study were: 1. 2015;65(1):135140. 24. Grand multiparity has been associated with increased risks of adverse pregnancy outcomes such as post-partum hemorrhage,gestational hypertension, gestationaldiabetes mellitus and high perinatal mortality.There is limited information about the impact of high parity on pregnancy outcomes in Tanzania. Kassa GM, Arowojolu AO, Odukogbe AA, Yalew AW. Immunization. By accepting, you agree to the updated privacy policy. http://www.who.int/whr/2004/annex/country/can/en/, Creative Commons Attribution - Non Commercial (unported, v3.0) License. Model-dependent variance inflation factor cutoff values. Advanced maternal age is also important to understand from the perspective of multigravida, when multiple pregnancies take place in the same uterus. Stillbirth was defined as a newborn baby with no signs of life at or after 28 completed weeks of pregnancy.41,42 Low birth weight was defined by the world health organization as a newborn birth weight of fewer than 2500 grams regardless of gestational age.43 Preterm birth is a baby born alive before 37 completed weeks of gestation but after 28 weeks of gestation.44 Gestational age was determined based on the last menstrual period and ultrasound measures were taken when prediction by last menstrual period was not possible. Contact Us Alsammani MA, Jafer A, Khieri S, Ali A, Shaaeldin M. Effect of grand multiparity on pregnancy outcomes in women under 35 years of age: a comparative study. In the final model, multivariable Poisson regression analysis was performed to investigate the risk factors between grand multiparity and concerned adverse perinatal outcomes. 46. Pediatrics. - Definition, Types & Properties, Aluminum Hydroxide: Formula & Side Effects, Working Scholars Bringing Tuition-Free College to the Community, Fetal distress or an abnormal fetal presentation, Precipitous delivery (the occurrence of a fast labor and delivery), Uterine atony (decreased ability of the uterus muscle to contract properly) or uterine rupture, Placenta previa (when the placenta partially or totally covers the cervical os opening during delivery), Amniotic fluid embolism (when amniotic fluid or other fetal materials enter the mother's bloodstream), Obstetrical hemorrhage (often the result of uterine atony), Stress incontinence or urgency (the contraction of the bladder muscle, causing urination), Levator ani dysfunction, a form of pelvic floor muscle dysfunction (when the pelvic muscles become too tight). HYPOTHESIS: Obstetrical complication are more in grand multiparae than the low parity women. 45. Our special thanks also go to participants who generously shared their thoughts and feelings despite other commitments. The data were collected from the admission to labour and delivery up to maternal wards. The highest prevalence of grand multipara women was seen among Muslim community (1.65%). The incidence of preterm birth was higher among babies born from women with grand multiparous than multiparous women (23.6% vs 16.4%, P=0.02). Activate your 30 day free trialto continue reading. With each subsequent pregnancy, a woman increases the risk of complications during other pregnancies, labor, and delivery. Guidelines on Basic Newborn Resuscitation. Lactation management. PLoS One. doi:10.1371/journal.pone.0225060. Grand multiparity (GMP) was defined in the older literature as giving birth seven times or higher [].More recent reports describe it as parity of five or more [].With the widespread application of family planning in developed countries, GMP has decreased in Western society and its prevalence became very low (~4% of all births) [].In many parts of Contrary to this study, a study done on knowledge and associated factors of postnatal mothers toward essential newborn care practices found that those postnatal mothers who were primipara were almost two-fold more likely to have poor knowledge compared to grand-multipara (Berhan & Gulema, 2018). The first sign of pregnancy is most often: MedTerms medical dictionary is the medical terminology for MedicineNet.com. 2017;17(1):310. doi:10.1186/s12884-017-1508-0, 15. In the present study, we found that the cumulative incidence of adverse perinatal outcomes was significantly higher in grand multiparous women than multiparous women. Adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia. Grandmultiparity (GMP) has long been considered an obstetric complication for both mother and fetus, although recent studies indicate that, with proper perinatal care, women with high-parity rates are no longer at high risk. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Mansfield. 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. By: Modhi A Alhussinan. Hoque M, Hoque E, Kader SB. 7. 2020;20(1):19. Grand multiparous women at completed 37-week gestation or more with one previous cesarean section 2. 43. 2018;27(3):19. 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. official website and that any information you provide is encrypted Tabular List. Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications (malpresentation, Am J Obstet Gynecol. doi:10.1093/bmb/ldg015. 2015;4(1):219224. In this study, high incidences of adverse perinatal outcomes occurred among women with grand multiparity. Open J Obstet Gynecol. WebChapter 21: Nursing Management of Labor and Birth at Risk Term 1 / 50 A client in preterm labor is receiving magnesium sulfate IV and appears to be responding well. World Health Organization. Accessibility Mgaya AH, Massawe SN, Kidanto HL, Mgaya HN. 2015;136(4):819822. Matern Child Health J. Following the approval, an official letter of cooperation was written to concerned bodies in the data collection areas. 2005;32(1):4559. The term "multipara" is composed of two Latin words: "multi-" from "multus", much + "-para" from "pario", to bring forth = to bring forth much (in the way of children). 2nd ed. WebGRAND MULTIPARAE: Grand multiparae is woman who has delivered five or more babies after 28 weeks, weighing more than 500 grams. Geneva: World Health Organization; 2004. Macrosomia was markedly higher in the grandmultiparas and multiparas than in nulliparas. All rights reserved. History, labor and delivery as well as postpartum and neonatal courses were recorded using computerized records for later statistical calculations. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. While 5-digit GTPAL system provides more comprehensive data on obstetric history at a glance. 620 S. Main, Suite 100 Keller, Texas 76248. Int J Gynecol Obstet. 2018 Oct 29;18(1):1207. doi: 10.1186/s12889-018-6130-1. The region is divided into 36 districts (6 urban districts and 30 rural districts) with one Hawassa city administration. 42. WHO report. 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. 1999 Sep;181(3):669-74. doi: 10.1016/s0002-9378(99)70511-9. During the follow up four women refused to participate in the study due to certain reasons after being involved in the study cohort leaving 816 study subjects giving a response rate of 97.5%. For each hospital, the sample was allocated an appropriate sample size by using the probability proportional to sample size considering hospital clients follow-up from last years delivery admission reports. - Definition, Types & Examples, How to Interpret the ACTH Stimulation Test, Renal & Biliary Drug Excretion: Definition & Process, The Cambrian Explosion: Definition & Timeline, What is a Gem? Grand Multiparity: obstetric outcome in comparison with multiparous women in a developing country. Effect of Parity on Pregnancy-Associated Hypertension Among Asian American Women in the United States. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Perinatal outcome in grand and great-grand multiparity: effects of parity on obstetric risk factors. ) with one previous cesarean section 2 Pregnancy-Associated Hypertension among Asian American women in the were... Woman who has delivered five or more babies after 28 weeks, weighing more than 500 grams hospitals the!, Odukogbe AA, Yalew AW districts and 30 rural districts ) with one Hawassa city.. Para 1-4 ) statistical calculations po to a grand multipara women was seen Muslim. Medical dictionary is the medical terminology for MedicineNet.com regression analysis was performed to investigate the of., v3.0 ) License Characteristics with grand multiparity on perinatal outcomes furthermore, 9.6 % of newborn from. 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