Effect of grand multiparity on adverse maternal outcomes: A prospective cohort study
BackgroundGrand multiparity remains a risk factor for a wide range of obstetric complications, especially in developing countries. Grand multiparity has been shown to increase the risks of medical and obstetric complications during pregnancies. However, in a research setting, the risk factors associ...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.959633/full |
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| author | Tamirat Tesfaye Dasa Tamirat Tesfaye Dasa Michael A. Okunlola Yadeta Dessie |
| author_facet | Tamirat Tesfaye Dasa Tamirat Tesfaye Dasa Michael A. Okunlola Yadeta Dessie |
| author_sort | Tamirat Tesfaye Dasa |
| collection | DOAJ |
| description | BackgroundGrand multiparity remains a risk factor for a wide range of obstetric complications, especially in developing countries. Grand multiparity has been shown to increase the risks of medical and obstetric complications during pregnancies. However, in a research setting, the risk factors associated with adverse maternal outcomes have yet to be adequately investigated among grand multiparity. Furthermore, there is limited information that examines the effect of grand multiparity on pregnancy outcomes in Ethiopia through prospective follow-up design.ObjectiveThis study aimed to investigate the effect of grand multiparity on pregnancy outcomes in selected public hospitals in the Sidama Region State of Ethiopia.MethodsA prospective cohort study design was employed on 837 pregnant women who were admitted for delivery in selected public hospitals from January 1 to August 31, 2021. The study subjects were recruited during admission for labor and delivery. Every woman who was admitted to labor wards was screened for eligibility. The exposed group in this cohort was grand multiparity, and the non-exposed group was multiparity. Data collection was started from the first contact after admission and follow-up to discharge for adverse maternal outcomes. The risk factors for adverse maternal outcomes in grand multiparity were investigated using multivariable Poisson regression analysis. The risk factor was reported as an adjusted risk ratio (ARR) with a 95% confidence interval (CI). When the P-value was <0.05, statistical significance was declared.ResultsThe cohort's overall cumulative incidence of adverse maternal outcomes were 39.9% (95%CI: 36.6, 43.4%). Among exposed groups, the incidence of adverse maternal outcomes were 47.1% (95%CI: 41.0–53.2) and 36.3% (95% CI: 32.3–40.6) the multiparity. When compared to multiparous women, grand multiparity was associated with a greater risk of postpartum hemorrhage (ARR = 2.1; 95%CI:1.6–2.7) and malpresentation (ARR = 1.3; 95% CI: 1.01–1.7).ConclusionsPregnant women with grand multiparity have a higher incidence of adverse maternal outcomes. Grand multiparity increased the risk of adverse maternal outcomes such as postpartum bleeding and malpresentation. In low-resource settings, we recommend that community health education, the provision of accessible and effective contraceptive services, and increased awareness of the adverse maternal outcome among grand multiparity during pregnancy on obstetric performance should be prioritized. Also, trained health providers can effectively decrease the risk factor with good antenatal care and delivery. |
| first_indexed | 2024-04-11T10:03:17Z |
| format | Article |
| id | doaj.art-bf53c914e7c6453f910882bcea3cc46c |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T10:03:17Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-bf53c914e7c6453f910882bcea3cc46c2022-12-22T04:30:19ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.959633959633Effect of grand multiparity on adverse maternal outcomes: A prospective cohort studyTamirat Tesfaye Dasa0Tamirat Tesfaye Dasa1Michael A. Okunlola2Yadeta Dessie3Life and Earth Sciences Institute, (Including Agriculture and Health) Pan African University, Ibadan, NigeriaMidwifery Department, College of Medicine and Health Sciences, Hawassa University, Hawassa, EthiopiaDepartment of Obstetrics and Gynecology, College of Medicine, University College Hospital, University of Ibadan, Ibadan, NigeriaSchool of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaBackgroundGrand multiparity remains a risk factor for a wide range of obstetric complications, especially in developing countries. Grand multiparity has been shown to increase the risks of medical and obstetric complications during pregnancies. However, in a research setting, the risk factors associated with adverse maternal outcomes have yet to be adequately investigated among grand multiparity. Furthermore, there is limited information that examines the effect of grand multiparity on pregnancy outcomes in Ethiopia through prospective follow-up design.ObjectiveThis study aimed to investigate the effect of grand multiparity on pregnancy outcomes in selected public hospitals in the Sidama Region State of Ethiopia.MethodsA prospective cohort study design was employed on 837 pregnant women who were admitted for delivery in selected public hospitals from January 1 to August 31, 2021. The study subjects were recruited during admission for labor and delivery. Every woman who was admitted to labor wards was screened for eligibility. The exposed group in this cohort was grand multiparity, and the non-exposed group was multiparity. Data collection was started from the first contact after admission and follow-up to discharge for adverse maternal outcomes. The risk factors for adverse maternal outcomes in grand multiparity were investigated using multivariable Poisson regression analysis. The risk factor was reported as an adjusted risk ratio (ARR) with a 95% confidence interval (CI). When the P-value was <0.05, statistical significance was declared.ResultsThe cohort's overall cumulative incidence of adverse maternal outcomes were 39.9% (95%CI: 36.6, 43.4%). Among exposed groups, the incidence of adverse maternal outcomes were 47.1% (95%CI: 41.0–53.2) and 36.3% (95% CI: 32.3–40.6) the multiparity. When compared to multiparous women, grand multiparity was associated with a greater risk of postpartum hemorrhage (ARR = 2.1; 95%CI:1.6–2.7) and malpresentation (ARR = 1.3; 95% CI: 1.01–1.7).ConclusionsPregnant women with grand multiparity have a higher incidence of adverse maternal outcomes. Grand multiparity increased the risk of adverse maternal outcomes such as postpartum bleeding and malpresentation. In low-resource settings, we recommend that community health education, the provision of accessible and effective contraceptive services, and increased awareness of the adverse maternal outcome among grand multiparity during pregnancy on obstetric performance should be prioritized. Also, trained health providers can effectively decrease the risk factor with good antenatal care and delivery.https://www.frontiersin.org/articles/10.3389/fpubh.2022.959633/fullmaternal complicationparityobstetricsfollow upEthiopiacohort study |
| spellingShingle | Tamirat Tesfaye Dasa Tamirat Tesfaye Dasa Michael A. Okunlola Yadeta Dessie Effect of grand multiparity on adverse maternal outcomes: A prospective cohort study Frontiers in Public Health maternal complication parity obstetrics follow up Ethiopia cohort study |
| title | Effect of grand multiparity on adverse maternal outcomes: A prospective cohort study |
| title_full | Effect of grand multiparity on adverse maternal outcomes: A prospective cohort study |
| title_fullStr | Effect of grand multiparity on adverse maternal outcomes: A prospective cohort study |
| title_full_unstemmed | Effect of grand multiparity on adverse maternal outcomes: A prospective cohort study |
| title_short | Effect of grand multiparity on adverse maternal outcomes: A prospective cohort study |
| title_sort | effect of grand multiparity on adverse maternal outcomes a prospective cohort study |
| topic | maternal complication parity obstetrics follow up Ethiopia cohort study |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.959633/full |
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