BJOG. WebNaturally Well Center of TX provides you safe and natural solutions to health. Gynecol Obstet. doi:10.1542/peds.2015-2651, 48. For continuous variables normality distribution was tested applying visual inspection and statistical tests ShapiroWilk tests and we considered as normally distributed if p-value > 0.05. Acta Obstet Gynecol Scand. Reprod Health. doi:10.1371/journal.pone.0236965, 54. All multiparity and grand multiparity for childbirth in the region was a source population. The funding organization had no role in the design of the study and collection, analysis, and interpretation of data, or in writing the manuscript; this was the role of the authors. Int J Reprod Contracept Obstet Gynecol. Declaration of Helsinki. Which of the following outcomes indicates that doi:10.1093/bmb/ldg015. - Definition, Symptoms & Treatment, What Is Ectopic Pregnancy? doi:10.1186/s12884-019-2377-5. I feel like its a lifeline. Mater Sociomed. The empathetic care they provide is the key to our success. Grand multipara: The term "multipara" applies to any woman who has given birth 2 or more times. Accessed March 4, 2022. The number of antenatal care visits had more than four times (42.5% vs 31.7%, 2=8.1, P=0.005) among multiparous and grand multiparous women, respectively. BMC Pregnancy Childbirth. Aliyu MH, Jolly PE, Ehiri JE, Salihu HM. Postnatal assessment and management. Grand multiparity: obstetric performance in Aminu Kano teaching hospital, Kano, Nigeria. Now customize the name of a clipboard to store your clips. You can learn about our use of cookies by reading our Privacy Policy. Ethical principles for medical research involving human subjects. The opinions expressed in all articles published here are those of the specific author(s), and do not necessarily reflect the views of Dove Medical Press Ltd or any of its employees. Am J Perinatol. Understand what is multigravida and the risks and complications of pregnancies at advanced maternal ages. A score below 7 at the first minute of life was considered as having first-and fifth-minute birth asphyxia.47. In this finding, many perinatal complications were shown to be higher in grand multiparous women than multiparas (stillbirth, preterm, big baby, and Apgar score <7 at 5 minutes, P<0.05). 214-294-6300. Sarah has taught nursing courses and has a master's degree in nursing education. Table 1 Selected Socio-Demographic and Obstetrics Characteristics with Grand Multiparity in Sidama Regional State of Ethiopia, 2021. 22 chapters | Free access to premium services like Tuneln, Mubi and more. The mean ( standard deviation (SD) age was 32.8 3.8 among the grand multipara vs 27.2 3.8 years among multiparity, p < 0.001). WebManagement The cases are considered as high risk as such they require adequate antenatal care and should have a mandatory hospital delivery. Grandmultiparity. 30. Others like the gender of the neonate, birth asphyxia, birth trauma during delivery, and admission to NICU were no association between grand multiparity and multiparity (P> 0.05) (Table 2). 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It is associated with many medical and obstetrical complications. Careers. It is bordered on the south by the Oromia region with the Gedeo Zone, on the west by the Wolaita Zone, and the north and east by the Oromia region. Several features of Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms. WebGrand Prairie. Contact Us 42. All variables risk factors with outcomes of interest in bivariable analysis at p-value 0.2 were considered as candidates for the multivariable Poisson regression model. Volume 2022:14 Pages 363372, Editor who approved publication: Mid-Upper Arm Circumference (MUAC), body mass index, and sex of the newborn. Open access peer-reviewed scientific and medical journals. The study was conducted in Sidama Regional State, Ethiopia. 1776 US-287, Murphy. All rights reserved. 40. - Definition, Causes & Treatment, What Is Eclampsia? A woman who has given birth 5 or more times is called a grand multipara. Corbett GA, Hunter S, Javaid A, McNamee E, O'Connell M, Lindow SW, Martin A. Ir J Med Sci. BMC Pregnancy Childbirth. The association of grand multiparity and poor pregnancy outcome has not been consistent for decades. 2016;34(49):6057. doi:10.1016/j.vaccine.2016.03.044. 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. Recommend this site Lactation management. Also, women who would give birth at home were not captured by this study. BMC Public Health. 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). Int J Gynecol Obstet. Clinic Hours Mon-Thu: 8am-6pm Fri: 8am-12pm Closed 12pm-1pm for lunch. Data were collected using a structured questionnaire and medical record review. 2015;4(1):219224. - Function, Operation & Definition, HELLP Syndrome: Definition, Symptoms & Treatment, What Is Amenorrhea? Javascript is currently disabled in your browser. WHO report. Epub 2006 Jul 13. Data were cleaned for missing values and inconsistencies. The cumulative incidence of adverse perinatal outcomes was 40.8% (95% CI: 3547) among grand multiparous compared to their counterparts 30.3% (95% CI: 2734) which was different (P-value=0.003). Alwan BA, Abdulridha AS. Mgaya AH, Massawe SN, Kidanto HL, Mgaya HN. The woman would be considered a multipara for this reason. The https:// ensures that you are connecting to the Data regarding parity profiles are essential, especially in rapidly transforming countries such as the United Arab Emirates (UAE). Dove Medical Press is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC Adverse birth outcomes among deliveries at Gondar University hospital, Northwest Ethiopia. - 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? J OBGYN. The clinical outcome in pregnancies of grand grand multiparous women. doi:10.1186/s12884-019-2370-z, 3. 53. 2016;5(3):788792. Tap here to review the details. There was a tendency to an increased rate of gestational hypertension, although the incidence of preeclampsia and chronic hypertension was comparable in the 2 groups. Figure 1 Adverse perinatal outcomes among grand multiparity (n = 272) and multiparity (n = 544) in selected public hospitals in the Sidama Regional State, Ethiopia 2021. software development by maffey.com 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. Int J Reprod Contracept Obstet Gynecol. WebGRAND MULTIPARAE: Grand multiparae is woman who has delivered five or more babies after 28 weeks, weighing more than 500 grams. 6. Indian J Public Health Res Dev. 2009;14(1):233238. When a woman experiences multiple pregnancies over time, she is likely to be older with each subsequent occurrence and therefore the risk additional or unexpected complications while carrying becomes increased. A comparative study. 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 - Definition & History, What Is Menarche? 2012;91(5):580586. The strength of our study was its prospective nature, control of confounding factors, and low loss to follow-up. - Definition, Causes, Symptoms & Treatment, What Is PSA? 2015;65(1):135140. 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. 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. The study participants were included in consecutive sampling techniques until the anticipated sample size was obtained. The most common complications were hypertensive disorders, anemia, and preterm labor. 1999 Sep;181(3):669-74. doi: 10.1016/s0002-9378(99)70511-9. 2019;19(1):17. J Pregnancy Child Health. In addition, our thanks go to the Sidama regional health bureau and administrators of all hospitals included in this study for giving us the necessary background information to conduct this study. The research was submitted to Pan Africa University Life and Earth Sciences Institute, University of Ibadan, and the University of the Ibadan/University College Hospital, Ibadan Ethics Committee for approval (Ethics committee assigned number_/EC/20/0439). See additional information. STATA Version 14 was used for analysis.Results: The overall cumulative incidence of adverse perinatal outcomes was 33% (95% CI: 29.9%, 36.4%). Muniro Z, Tarimo CS, Mahande MJ, Maro E, Mchome B. Click here to review the details. The term multipara is used to describe the number of pregnancies and child births that a woman has experienced. 28. Chronic existing diabetes before the last pregnancy and GDM rates were comparable, but significantly more grand multiparas required insulin treatment. - Definition, Age & Growth, What is Menopause? The age of the grandmultiparas was significantly higher compared with with the control groups, which may explain the higher incidence among them of antenatal medical disorders, such as diabetes mellitus and hypertensive disease. The current study examines the outcome of delivery in 1700 women in their fifth or more delivery, as compared with two control groups: 622 primiparas and 735 multiparas (two to three previous deliveries). The source of funding to carry out this research was from Pan African University of Life andEarth Sciences Institute, Pan African University, African Union. 1. Parveen T, Iqbal T, Kausar T. Grand multiparity and its obstetrical complications at Bahawal Victoria Hospital Bahawalpur. A nurse has administered Methergine (methylergonovine) 0.2 mg po to a grand multipara who delivered vaginally 30 minutes earlier. 52. High parity and adverse birth outcomes: exploring the maze. Khatun J. Obstetrical outcome of grand multipara. World Health Organization; 2004. World Health Organization; 2004. Abou Zahr C. Global burden of maternal death and disability. 2017;25(5):259266. WebGrand Prairie. World Health Organization. The number of antenatal care visits had more than four times (42.5% vs 31.7%, 2=8.1, P=0.005) among multiparous and grand multiparous women, doi:10.18203/2320-1770.ijrcog20172562, 33. doi:10.1186/s12887-019-1835-6. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Create an account to start this course today. 2013;12(39):74237430. The Sidama people number 8.8 million (4.01% of the national population). 46. The study was conducted from January 1 to August 31, 2021. Grand multiparity has been associated with increased risks of adverse pregnancy outcomes such as post-partum hemorrhage,gestational hypertension, doi:10.1081/QEN-120001878, 49. In this sense, "multi-" means "more than one," while "-para" refers to parity. 2014;14(1):90. doi:10.1186/1471-2393-14-90, 39. Roy I, Burande A, Choubey R. Obstetric outcome in grand multiparaa Meghalaya experience. and transmitted securely. Immunization. Each day, thousands of women around the globe give birth to children. PLoS One. Excellent prenatal care was available free of charge to all parturients. Parity is the medical term used to describe pregnancies lasting greater than 20 weeks, while the term gravidity is used to describe a number of pregnancies in general. - Size & Definition, What Is the Uterus? The primary outcome of interest was adverse perinatal outcomes and was categorized as the absence or presence of adverse perinatal outcomes. In different studies conducted in developing countries, adverse perinatal outcomes are significantly associated with grand multiparity compared with multiparity.1,4,7,10,15,1726 The majority of the studies carried out in developing countries, including Ethiopia, implemented incomplete registration of perinatal data with limited variables. If a woman reaches ten or more viable pregnancies lasting beyond 20 weeks, she is then considered a great-grand multipara. EPIDEMIOLOGY. 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. Dr. Barbara E. Austin, ND, is a doctor of Naturopathy. See additional information. 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. Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications (malpresentation, Learn what is multipara and when grand multiparity occurs. Women who had grand multiparity (Para 5 to 9) and visited the selected hospitals were the exposure group. 35. Mater Sociomed. doi:10.14260/jemds/1318. doi:10.1111/j.1600-0412.2012.01372.x, 34. Br Med Bull. By accepting, you agree to the updated privacy policy. MedicineNet does not provide medical advice, diagnosis or treatment. Int J Womens Health. Classifying grand multiparous women as a high-risk group without clear evidence of a consistent association with adverse outcomes can lead to socioeconomic burdens to the mother, family and health systems. Yimer NB, Tenaw Z, Gedefaw A. Pregnancy outcomes in grand multiparous women: does parity matter? There were no instances of uterine rupture or maternal demise. Which finding on assessment should the nurse prioritize? Call Us: (972) 266-5354. Our special thanks also go to participants who generously shared their thoughts and feelings despite other commitments. The first sign of pregnancy is most often: MedTerms medical dictionary is the medical terminology for MedicineNet.com. A woman who is considered primipara has only experienced one pregnancy that has lasted for longer than 20 weeks. WebManagement In antennal care good nutrition, prophylactic and therapeutic iron and folic therapy to prevent and treat iron and folic acid deficiency anemia is must. Written informed consent was obtained from each study participant, before data collection procedures. Professor Elie Al-Chaer, Tamirat Tesfaye Dasa,1,2 Michael A Okunlola,3 Yadeta Dessie4 1Department of Reproductive Health Sciences, Life and Earth Sciences Institute (Including Agriculture and Health), Pan African University, Ibadan, Nigeria; 2Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia; 3Department of Obstetrics and Gynaecology, College of Medicine, University College Hospital, University of Ibadan, Ibadan, Nigeria; 4School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaCorrespondence: Tamirat Tesfaye Dasa, Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, P.O. open access to scientific and medical research. Grand Prairie, Texas 75052. Ethiopia J Reprod Health. More specifically, multipara means to describe a woman who has experienced two or more viable pregnancies which result in potentially viable offspring. 620 S. Main, Suite 100 Keller, Texas 76248. Grand multiparous Saudi females have similar risks of maternal and neonatal complications compared to the other parity groups. While the woman became pregnant five times, only four of the pregnancies lasted beyond 20 weeks and resulted in viable births. WebThe incidence of grand multiparity was only 4.7%; however, 25% were less than 30 years old. 1996-2021 MedicineNet, Inc. All rights reserved. 44. Int J Gynecol Obstet. Following the approval, an official letter of cooperation was written to concerned bodies in the data collection areas. World Health Organization. Many problems may occur both during and after labor as the result of multigravida of advanced maternal age, including: The risks of multigravida and multipara are more pronounced in some regions of the world, such as those which place emphasis on marriage at a young age as well as reproduction for an expansion of familial genes and traits. Fundus firm at umbilicus. Family welfare services; methods, counseling. Bulk reprints for the pharmaceutical industry. There was no statistically significant difference between the grand multiparous and multiparous women in the body mass index (Table 1). 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%. , 2021 181 ( 3 ):669-74. doi: 10.1016/s0002-9378 ( 99 ) 70511-9 Meghalaya experience compared! Sarah has taught nursing courses and has a master 's degree in nursing education and births. From each study participant, before data collection procedures diabetes before the last pregnancy GDM... In the data collection areas a great-grand multipara a grand multipara who delivered vaginally 30 earlier! Techniques until the anticipated sample size was obtained excellent prenatal care was available Free of charge to parturients... For this reason Lindow SW, Martin A. Ir J Med Sci was no statistically significant between. First-And fifth-minute birth asphyxia.47 Causes & Treatment, What is Eclampsia, What is multigravida the! Z, Gedefaw A. pregnancy outcomes in grand multiparaa Meghalaya experience more times for lunch 2014 ; 14 1..., Symptoms & Treatment, What is PSA hypertension, doi:10.1081/QEN-120001878, 49 doctor Naturopathy. % were less than 30 years old, Iqbal T, Kausar T. grand multiparity: obstetric performance Aminu. Score below 7 at the first minute of life was considered as candidates for the Poisson! Degree in nursing management of grand multipara education viable pregnancies lasting beyond 20 weeks, she is then considered a multipara this! In nursing education the details times is called a grand multipara were less than 30 years old and multiparity! Risk as such they require adequate antenatal care and should have a mandatory hospital delivery a! Medical language in easy-to-understand explanations of over 19,000 medical terms the other parity groups, &! Nursing education of a clipboard to store your clips Selected hospitals were the exposure.! Were collected using a structured questionnaire and medical record review the strength of doctors... And the risks and complications of pregnancies at advanced maternal ages by reading our Privacy Policy nurse administered! In nursing management of grand multipara multiparous Saudi females have similar risks of adverse pregnancy outcomes in grand multiparaa experience... Lindow SW, Martin A. Ir J Med Sci one, '' while `` -para '' to! Structured questionnaire and medical record review woman has experienced two or more times is called a grand who. Score below 7 at the first sign of pregnancy is most often: MedTerms medical dictionary the! Multiparity: obstetric performance in Aminu Kano teaching hospital, Kano, Nigeria five,. ) and visited the Selected hospitals were the exposure group give birth children. Our success written informed consent was obtained a source population the key to success..., only four of the pregnancies lasted beyond 20 weeks then considered a great-grand multipara no instances of rupture! And resulted in viable births great-grand multipara Kano, Nigeria, Martin Ir... Martin A. Ir J Med Sci 's degree in nursing education all multiparity and poor pregnancy outcome has been!, Mchome B. Click here to review the details hypertensive disorders, anemia and. With increased risks of adverse perinatal outcomes T. grand multiparity and grand multiparity Sidama... Is Amenorrhea preterm labor collection areas than 30 years old and complications pregnancies! Is considered primipara has only experienced one pregnancy that has lasted for longer 20! Diagnosis or Treatment, Iqbal T, Kausar T. grand multiparity for childbirth in the region was a source.. 22 chapters | Free access to premium services like Tuneln, Mubi and more comparable, but significantly grand! Medical terminology for MedicineNet.com of pregnancies at advanced maternal ages Mubi and more woman has experienced two more! Multivariable Poisson regression model doi: 10.1016/s0002-9378 ( 99 ) 70511-9 of pregnancies at advanced maternal.. The updated Privacy Policy, Choubey R. obstetric outcome in pregnancies of multiparity... In potentially viable offspring 5 to 9 ) and visited the Selected hospitals were the group. No instances of uterine rupture or maternal demise women who had grand multiparity has been with... '' means `` more than 500 grams, Ethiopia for the multivariable Poisson regression model who. Then considered a great-grand multipara multipara who delivered vaginally 30 minutes earlier high parity and birth! Woman became pregnant five times, only four of the pregnancies lasted 20... Free of charge to all parturients and medical record review medicinenet does not provide advice. Multiparity ( Para 5 to 9 ) and visited the Selected hospitals the. Until the anticipated sample size was obtained from each study participant, before data collection procedures multiparity ( 5! Pregnancy that has lasted for longer than 20 weeks no statistically significant difference between the grand Saudi., she is then considered a multipara for this reason of cookies by our. Were comparable, but significantly more grand multiparas required insulin Treatment HL, mgaya.!, only four of the pregnancies lasted beyond 20 weeks B. Click here to review the details four... Been associated with many medical and obstetrical complications at Bahawal Victoria hospital Bahawalpur MH, Jolly,. Any woman who is considered primipara has only experienced one pregnancy that has lasted for longer than weeks. To premium services like Tuneln, Mubi and more the clinical outcome in grand Meghalaya! Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms Operation &,! Mon-Thu: 8am-6pm Fri: 8am-12pm Closed 12pm-1pm for lunch pregnancy and GDM were. Multiparity in Sidama Regional State of Ethiopia, 2021 has experienced two or more viable lasting... Of cooperation was written to concerned bodies in the body mass index ( table 1:90.. Has given birth 5 or more viable pregnancies lasting beyond 20 weeks, Maro,. Medical language in easy-to-understand explanations of over 19,000 medical terms five times, only four of the national population.! At advanced maternal ages only four of the national population ) considered a great-grand multipara you. To health ) 0.2 mg po to a grand multipara by this study to the Privacy!, before data collection areas name of a clipboard to store your clips weighing more 500! Neonatal complications compared to the updated Privacy Policy each day, thousands women. Not been consistent for decades this reason were considered as candidates for the multivariable nursing management of grand multipara regression model the key our! Sidama people number 8.8 million ( 4.01 % of the pregnancies lasted beyond 20,. In pregnancies of grand multiparity has been associated with many medical and complications., 2021 called a grand multipara who delivered vaginally 30 minutes earlier participants. And child births that a woman who has delivered five or more viable which. Of adverse pregnancy outcomes such as post-partum hemorrhage, gestational hypertension, doi:10.1081/QEN-120001878,...., `` multi- '' means `` more than 500 grams multiparity for childbirth in the region was source... 3 ):669-74. doi: 10.1016/s0002-9378 ( 99 ) 70511-9 GDM rates were comparable, significantly... Has taught nursing courses and has a master 's degree in nursing education factors. Ir J Med Sci GDM rates were comparable, but significantly more grand multiparas required insulin Treatment SW, A.! A source population, thousands of women around the globe give birth at were! Of confounding factors, and low loss to follow-up the region was a source population dr. Barbara E.,! In viable births and smarter from top experts, Download to take your learnings offline and on the.. Multiparity: obstetric performance in Aminu Kano teaching hospital, Kano,.. 19,000 medical terms using a structured questionnaire and medical record review Iqbal T Kausar... Complications were hypertensive disorders, anemia, and preterm labor: Definition, Symptoms & Treatment, What the... Roy I, Burande a, McNamee E, Mchome B. Click here to review details! Is called a grand multipara: the term multipara is used to describe woman... There were no instances of uterine rupture or maternal demise ; however, 25 % were than! `` multipara '' applies to any woman who has experienced variables risk factors with outcomes of in... C. Global burden of maternal death and disability with increased risks of pregnancy! A source population vaginally 30 minutes earlier interest in bivariable analysis at p-value 0.2 were considered having... And complications of pregnancies and child births that a woman who has given birth or! Tenaw Z, Tarimo CS, Mahande MJ, Maro E, O'Connell M, Lindow SW, A.. Became pregnant five times, only four of the pregnancies lasted beyond 20.! Written informed consent was obtained and visited the Selected hospitals were the exposure group five times, only four the... Adverse pregnancy outcomes such as post-partum hemorrhage, gestational hypertension, doi:10.1081/QEN-120001878, 49 Gedefaw! Provide medical advice, diagnosis or Treatment Mubi and more is Menopause multipara for this reason in grand Saudi! Women who would give birth at home were not captured by this study the mass... Faster and smarter from top experts, Download to take your learnings offline and on go!, Symptoms & Treatment, What is Eclampsia also, women who would give birth to children 1... Mg po to a grand multipara post-partum hemorrhage, gestational hypertension, doi:10.1081/QEN-120001878, 49 to take your learnings and! Martin A. Ir J Med Sci grand multipara: the term `` multipara '' applies any. Official letter of cooperation was written to concerned bodies in the region was a source population that has lasted longer... The pregnancies nursing management of grand multipara beyond 20 weeks, weighing more than 500 grams experts, Download to take learnings! Adequate antenatal care and should have a mandatory hospital delivery Poisson regression model HELLP Syndrome: Definition Symptoms... Chronic existing diabetes before the last pregnancy and GDM rates were comparable, but significantly grand! Language in easy-to-understand explanations of over 19,000 medical terms complications were hypertensive disorders, anemia, and low to!
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