adj., adjmultip´arous. Multipara risk Download Here Free HealthCareMagic App to Ask a Doctor All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. A multipara is a woman who has given birth more than once, while a grand multipara has had more than five children. The “Grand Multipara” — Is it a problem? 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 used to evaluate newborn's condition). Macrosomia(an unusually large fetus that may be unable to fit through the mother’s pelvis) 4. Grand multiparity - a continuing threat: a 6-year review. Being Pregnant With PCOS: What Do You Need To Know About Pregnancy Complications? These observations on a group of patients who are traditionally considered to be high risk show that in a healthy population with access to modern medical care and hospital delivery, a favorable outcome can be achieved despite a low socioeconomic or refugee status. High parity is more common in developing societies4. Observations on some patients of high parity delivering in a general hospital in Saudi Arabia. Grand multipara: The term "multipara" applies to any woman who has given birth 2 or more times. a woman who has had two or more pregnancies resulting in viable offspring; called also pluripara. Peer Review reports. Grand multiparity: an obstetric or neonatal risk factor? Even the definitions of grand multiparity vary, with some countries including stillbirths in utero (after 20 weeks pregnancy), while others do not, and only count live births toward the parity figure. 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. These observations on a group of patients who are traditionally considered to be high risk show that in a healthy population with access to modern medical care and hospital delivery, a favorable outcome can be achieved despite a low socioeconomic or refugee status. The percentage of grand multipara decreased from 7.7 to 4.0. Grand-multiparity was found to be associated with pre-labour rupture of membranes, 16.2% versus 4.0% (p = 0.004), hypertensive diseases in pregnancy, 27.1% versus 8.1% (p = 0.001), placenta praevia, 15.3% versus 4.0% (p = 0.007) and other medical illnesses, 23.2% versus 6.1% (p = 0.001). How does stress during pregnancy affect your baby? Most of the grand multipara belongs to low socioeconomic status and illiterate, this shows that education plays an important role in maternal health care. The term "grand multipara" was coined during a study in 1934, which concluded that having had more than five children increased the risk of a subsequent pregnancy. The malpresentation was more common in grand multipare especially breech was more common than the low parity. However, a number of reports have recently appeared in the literature suggesting that this might be fiction rather than fact [1] . INTRODUCTION. Infertility Treatments (IVF/ICSI) Increase the Risk of Stillbirths, Study: Birth defect risk much higher in diabetic mothers. Babies Are Being Born With Organs Outside Their Bodies, And Scientists Don't Know Why. According to this study, risks of complications during pregnancy rise steadily between the fifth and tenth pregnancies. Should You Get Vaccinated During Pregnancy: Is The Flu Shot Safe For Pregnant Women And Her Baby? Plus Size Pregnancy - What You Need To Know, "Artificial Pancreas" Helps Women with Type 1 Diabetes Deliver Healthy Babies. In addition, those women who have had more than five children, and especially more than ten children, are very likely to be older mothers, hence increasing the risk of their pregnancy regardless of how many pregnancies they previously experienced. For a pregnancy to count as a "birth", it must go to at least 20 weeks' gestation (the mid-point of a full-term pregnancy) or yield an infant that weighs at least 500 grams, irrespective of whether the infant is liveborn or not. As listed in Table 3, grand multipara women had a higher frequency for medical disorders (p=009), but both groups did not differ significantly in other antenatal obstetrics complications (p>0.05). 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