Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
    Users Online: 103
Home Print this page Email this page Small font size Default font size Increase font size
Year : 2017  |  Volume : 6  |  Issue : 2  |  Page : 77-82

Grandmultiparity: Is it really an independent predictor of adverse pregnancy outcomes?

Department of Obstetrics and Gynecology, Niger Delta University, Wilberforce Island, Bayelsa State, Nigeria

Correspondence Address:
M Ikeanyi Eugene
Department of Obstetrics and Gynecology, Niger Delta University, Wilberforce Island, P.M.B. 071, Bayelsa State
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sjhs.sjhs_98_16

Rights and Permissions

Context: Grandmultiparity has been associated with increased adverse maternal and perinatal outcomes mostly in poor-resource settings. The question remains to what extent parity on itself contributes to unfavorable obstetric outcomes. There are limited studies that control for other predictor variables of maternal and perinatal outcomes in high parity pregnancies. Aim: This compared the adverse maternal and perinatal outcomes among grand multiparas with age-matched low parous counterparts to generate data for focused obstetric care. Subjects and Methods: An age-matched case–control study was performed on 2009–2014 data of all the high parity births in a second-tier mission hospital in a state capital city, Nigeria. Selected maternal and fetal outcome variables were compared between the women of high parity (para ≥5) and low parity (para 1–4). The primary outcomes were adverse maternal and perinatal variables. The statistical tests were done with statistical significance at <0.05. Results: The prevalence of grandmultipara was 2.52%, grand multiparity was significantly associated with lower educational attainment (odds ratio [OR] = 4.3, 95% confidence interval [CI]: 2.4–7.6), lower socioeconomic class (OR = 3.78, 95% CI: 2.28–6.28) and abnormal lie (OR = 10.48, 95% CI: 1.21–91.00), no significant association (P > 0.05) with stillbirths, low birth weight, macrosomia, preterm birth, chronic hypertension, gestational hypertension anemia, induction of labor, cephalopelvic disproportion/obstructed labor, and cesarean section. Conclusions: The prevalence of grandmultiparity was low at 2.52%. With the exception of abnormal lie, high parity was not associated with increased adverse fetal and maternal outcomes in this study.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded270    
    Comments [Add]    

Recommend this journal