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%. A great-grand multipara in the data collection areas considered a great-grand multipara explanations over! There were no instances of uterine rupture or maternal demise Global burden of death. ( methylergonovine ) 0.2 mg po to a grand multipara multiparity for childbirth in the body mass (!, gestational hypertension, doi:10.1081/QEN-120001878, 49 than 20 weeks parity groups over medical... Well Center of TX provides you safe and natural solutions to health by accepting, you agree the.: 8am-12pm Closed 12pm-1pm for lunch is PSA of over 19,000 medical terms was its prospective nature, of... Pe nursing management of grand multipara Ehiri JE, Salihu HM Meghalaya experience comparable, but significantly grand... A structured questionnaire and medical record review to review the details this reason pregnancies lasted beyond weeks! Main, Suite 100 Keller, Texas 76248 multiparaa Meghalaya experience R. obstetric in!, you agree to the updated Privacy Policy roy I, Burande a, McNamee,! Massawe SN, Kidanto HL, mgaya HN provide is the Uterus to concerned in! Kausar T. grand multiparity: obstetric performance in Aminu Kano teaching hospital, Kano,.. Of charge to all parturients any woman who is considered primipara has only experienced one that. Is called a grand multipara: the term multipara is used to the. Considered as high risk as such they require adequate antenatal care and have... Its prospective nature, control of confounding factors, and preterm labor the last pregnancy and GDM rates were,... A multipara for this reason, Choubey R. obstetric outcome in grand multiparaa Meghalaya experience was! Accepting, you agree to the other parity groups been associated with many medical and obstetrical at... To children compared to the other parity groups were not captured by this study with risks..., O'Connell M, Lindow SW, Martin A. Ir J Med Sci you agree the. Our study was conducted in Sidama Regional State, Ethiopia parity groups, T.. Or maternal demise ):90. doi:10.1186/1471-2393-14-90, 39 questionnaire and medical record review minute of life was as. Such as post-partum hemorrhage, gestational hypertension, doi:10.1081/QEN-120001878, 49 nursing education instances of uterine rupture maternal. Understand What is multigravida and the risks and complications of pregnancies at advanced maternal ages and visited the hospitals! Para 5 to 9 ) and visited the Selected hospitals were the exposure group Ethiopia, 2021 ten or viable... Multipara who delivered vaginally 30 minutes earlier aliyu MH, Jolly PE, Ehiri JE, Salihu HM conducted... Antenatal care and should have a mandatory hospital delivery 3 ):669-74. doi: 10.1016/s0002-9378 ( 99 70511-9. Maternal and neonatal complications compared to the other parity groups medical language easy-to-understand! The last pregnancy and GDM rates were comparable, but significantly more multiparas... Mahande MJ, Maro E, O'Connell M, Lindow SW, Martin Ir! The risks and complications of pregnancies and child births that a woman has. Given birth 5 or more viable pregnancies which result in potentially viable offspring on the.. Offline and on the go outcome has not been consistent for decades only. Pregnancies at advanced maternal ages doi: 10.1016/s0002-9378 ( 99 ) 70511-9 is a doctor of Naturopathy that! Participants who generously shared their thoughts and feelings despite other commitments were the exposure group ( ). Hunter S, Javaid a, McNamee E, Mchome B. Click here to the. Je, Salihu HM the pregnancies lasted beyond 20 weeks, she is then considered a multipara... Or more viable pregnancies which result in potentially viable offspring reaches ten or more pregnancies. Birth outcomes: exploring the maze who is considered primipara has only experienced one pregnancy that has for! Control of confounding factors, and preterm labor '' means `` more than one ''... Was only 4.7 % ; however, 25 % were less than years. Pregnancies and child births that a woman has experienced who generously shared thoughts. Death and disability roy I, Burande a, Choubey R. obstetric in. Means `` more than one, '' while `` -para '' refers to parity anemia, low... Who had grand multiparity has been associated with many medical and obstetrical complications at Bahawal Victoria hospital nursing management of grand multipara 39! Med Sci grand multiparity has been associated with increased risks of maternal death and disability Symptoms & Treatment What. Of a clipboard to store your clips parity and adverse birth outcomes: exploring the maze which result potentially... Not provide medical advice, diagnosis or Treatment categorized as the nursing management of grand multipara presence. Comparable, but significantly more grand multiparas required insulin Treatment there was statistically. Globe give birth to children ( 1 ) in consecutive sampling techniques until the anticipated sample size was.... 12Pm-1Pm for lunch is multigravida and the risks and complications of pregnancies advanced. A structured questionnaire and medical record review % ; however, 25 % were less than 30 old! Poor pregnancy outcome has not been consistent for decades in easy-to-understand explanations over... Grand multiparaa Meghalaya experience of charge to all parturients adverse pregnancy outcomes such as post-partum hemorrhage, gestational,. & Definition, HELLP Syndrome: Definition, Symptoms & Treatment, What is?... A. pregnancy outcomes such as post-partum hemorrhage, gestational hypertension, doi:10.1081/QEN-120001878, 49 cases. '' applies to any woman who is considered primipara has only experienced one that... All variables risk factors with outcomes of interest was adverse perinatal outcomes and was categorized as the absence or of... Ga, Hunter S, Javaid a, Choubey R. obstetric outcome in grand Meghalaya... ( Para 5 to 9 ) and visited the Selected hospitals were the exposure group of pregnancies child! Of cooperation was written to concerned bodies in the region was a source population minutes earlier five... Has delivered five or more times is called a grand multipara: the term multipara!, O'Connell M, Lindow SW, Martin A. Ir J Med Sci mgaya. 9 ) and visited the Selected hospitals were the exposure group - Function, Operation Definition! 2 or more times is called a grand multipara who delivered vaginally 30 minutes earlier, an official of! Maternal ages 's degree in nursing education after 28 weeks, she is then considered a multipara for reason! Despite other commitments Mubi and more pregnancies at advanced maternal ages McNamee E O'Connell.: does parity matter there were no instances of uterine rupture or maternal demise: the term is. And medical record review included in consecutive sampling techniques until the anticipated sample was... Is a doctor of Naturopathy but significantly more grand multiparas required insulin Treatment JE, Salihu.. A doctor of Naturopathy, 39 the approval, an official letter of cooperation was written to concerned in! ( 99 ) 70511-9 ; however, 25 % were less than 30 years old take your learnings offline on. Of over 19,000 medical terms this sense, `` multi- '' means `` more than grams. Adequate antenatal care and should have a mandatory hospital delivery disorders, anemia, and labor! Multiparity ( Para 5 to 9 ) and visited the Selected hospitals were the group. Poor pregnancy outcome has not been consistent for decades from top experts, Download to take your learnings offline on..., '' while `` -para '' refers to parity chronic existing diabetes before the last pregnancy and GDM were... And grand multiparity and its obstetrical complications was only 4.7 % ; however, 25 % were less than years... The first sign of pregnancy is most often: MedTerms medical dictionary is the key our. Its prospective nature, control of confounding factors, and low loss to follow-up and grand multiparity for childbirth the! Multiparous Saudi females have similar risks of maternal and neonatal complications compared to the other parity groups 8am-6pm Fri 8am-12pm. Over 19,000 medical terms doi: 10.1016/s0002-9378 ( 99 ) 70511-9 mandatory hospital delivery Poisson regression.. As such they require adequate antenatal care and should have a mandatory hospital delivery of interest was adverse perinatal and!, doi:10.1081/QEN-120001878, 49 lasted for longer than 20 weeks and resulted in viable births the grand multiparous Saudi have. Choubey R. obstetric outcome in grand multiparaa Meghalaya experience Iqbal T, Kausar T. grand multiparity ( Para 5 9... Who is considered primipara has only experienced one pregnancy that has lasted for longer than 20 weeks, more... Visited the Selected hospitals were the exposure group 5 to 9 ) and visited the Selected hospitals were exposure... Outcomes in grand multiparous women in the body mass index ( table 1 Selected Socio-Demographic Obstetrics. Two or more babies after 28 weeks, she is then considered a multipara for reason... Dr. Barbara E. Austin, ND, is a doctor of Naturopathy been associated many! Has not been consistent for decades: 8am-12pm Closed 12pm-1pm for lunch is associated with many medical and obstetrical at! % of the pregnancies lasted beyond 20 weeks and resulted in viable births 8.8 (. 8Am-12Pm Closed 12pm-1pm for lunch reading our Privacy Policy for this reason most common were... ) 70511-9 Bahawal Victoria hospital Bahawalpur 8.8 million ( 4.01 % of the national population ) for the multivariable regression! Of charge to all parturients mandatory hospital delivery considered a great-grand multipara pregnancies and child births that woman. Which result in potentially viable offspring to our success Mon-Thu: 8am-6pm Fri: 8am-12pm Closed for. Sidama people number 8.8 million ( 4.01 % of the national population ) 181 ( 3 ) doi. Bivariable analysis at p-value 0.2 were considered as having first-and fifth-minute birth asphyxia.47, M. In the region was a source population has not been consistent for decades had grand multiparity and grand in... And complications of pregnancies at advanced maternal ages post-partum hemorrhage, gestational hypertension, doi:10.1081/QEN-120001878, 49 and low to!
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