Study of magnitude of grand multiparty and its perinatal outcome in a tertiary hospital of rural area in Maharashtra
Background: Grand multiparous pregnancies have been considered to be at higher risk of developing antenatal and perinatal complications like pre-eclampsia, gestational diabetes mellitus, anemia, antepartum hemorrhages, preterm labor, mal-presentation, mal-position and feto-pelvic disproportion This...
| Format: | Article |
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| Language: | English |
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Prathima Institute of Medical Sciences
2022-12-01
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| Series: | Perspectives In Medical Research |
| Online Access: | https://pimr.org.in/2022-vol10-issue-3/originalarticle13_v2.pdf |
| _version_ | 1797462437540134912 |
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| collection | DOAJ |
| description | Background: Grand multiparous pregnancies have been considered to be at higher risk of developing antenatal and perinatal complications like pre-eclampsia, gestational diabetes mellitus, anemia, antepartum hemorrhages, preterm labor, mal-presentation, mal-position and feto-pelvic disproportion This study was done to know the magnitude of grand multipara attending the tertiary care center with possible complications related to high parity.
Objectives:To study the prevalence possible feto-maternal complications associated with grand multipara at rural setup. Methodology:Descriptive cross-sectional study conducted in medical college of rural area for 12 months. Grand multipara with 5 or more deliveries before current pregnancy coming for antenatal checkup and delivery were enrolled. Antenatal history was recorded till delivery and feto-maternal outcomes were noted.
Results:Out of 1500 deliveries conducted during study period, 110 (7.5%) cases were grand multipara. Majority of them (79.5%) were Muslim and 80% were anaemic. 60% delivered with FTND, and 25.4% had emergency LSCS with one intrauterine death and a single breach delivery. Predominantly preeclampsia (23.6%) and malpresentation (14.5%) were diagnosed as antepartum complications. Almost one fifth of them had postpartum hemorrhage which was controlled with no mortality. 13 (11.8%) grand multipara women had still birth or early neonatal death, though fetal distress was observed in 37 cases. Conclusion: Grand multiparty is still a high-risk pregnancy associated with adverse maternal and fetal outcomes in our facility with multiple interrelated but mostly preventable causes. |
| first_indexed | 2024-03-09T17:36:30Z |
| format | Article |
| id | doaj.art-24256ed872814c16ab5224e3ee4da743 |
| institution | Directory Open Access Journal |
| issn | 2348-229X |
| language | English |
| last_indexed | 2024-03-09T17:36:30Z |
| publishDate | 2022-12-01 |
| publisher | Prathima Institute of Medical Sciences |
| record_format | Article |
| series | Perspectives In Medical Research |
| spelling | doaj.art-24256ed872814c16ab5224e3ee4da7432023-11-24T11:52:43ZengPrathima Institute of Medical SciencesPerspectives In Medical Research2348-229X2022-12-011010.47799/pimr.1003.150015Study of magnitude of grand multiparty and its perinatal outcome in a tertiary hospital of rural area in MaharashtraBackground: Grand multiparous pregnancies have been considered to be at higher risk of developing antenatal and perinatal complications like pre-eclampsia, gestational diabetes mellitus, anemia, antepartum hemorrhages, preterm labor, mal-presentation, mal-position and feto-pelvic disproportion This study was done to know the magnitude of grand multipara attending the tertiary care center with possible complications related to high parity. Objectives:To study the prevalence possible feto-maternal complications associated with grand multipara at rural setup. Methodology:Descriptive cross-sectional study conducted in medical college of rural area for 12 months. Grand multipara with 5 or more deliveries before current pregnancy coming for antenatal checkup and delivery were enrolled. Antenatal history was recorded till delivery and feto-maternal outcomes were noted. Results:Out of 1500 deliveries conducted during study period, 110 (7.5%) cases were grand multipara. Majority of them (79.5%) were Muslim and 80% were anaemic. 60% delivered with FTND, and 25.4% had emergency LSCS with one intrauterine death and a single breach delivery. Predominantly preeclampsia (23.6%) and malpresentation (14.5%) were diagnosed as antepartum complications. Almost one fifth of them had postpartum hemorrhage which was controlled with no mortality. 13 (11.8%) grand multipara women had still birth or early neonatal death, though fetal distress was observed in 37 cases. Conclusion: Grand multiparty is still a high-risk pregnancy associated with adverse maternal and fetal outcomes in our facility with multiple interrelated but mostly preventable causes.https://pimr.org.in/2022-vol10-issue-3/originalarticle13_v2.pdf |
| spellingShingle | Study of magnitude of grand multiparty and its perinatal outcome in a tertiary hospital
of rural area in
Maharashtra Perspectives In Medical Research |
| title | Study of magnitude of grand multiparty and its perinatal outcome in a tertiary hospital
of rural area in
Maharashtra |
| title_full | Study of magnitude of grand multiparty and its perinatal outcome in a tertiary hospital
of rural area in
Maharashtra |
| title_fullStr | Study of magnitude of grand multiparty and its perinatal outcome in a tertiary hospital
of rural area in
Maharashtra |
| title_full_unstemmed | Study of magnitude of grand multiparty and its perinatal outcome in a tertiary hospital
of rural area in
Maharashtra |
| title_short | Study of magnitude of grand multiparty and its perinatal outcome in a tertiary hospital
of rural area in
Maharashtra |
| title_sort | study of magnitude of grand multiparty and its perinatal outcome in a tertiary hospital of rural area in maharashtra |
| url | https://pimr.org.in/2022-vol10-issue-3/originalarticle13_v2.pdf |