A woman who has given birth two, three, or four times is multiparous and is called a multip. When fetal outcomes were adjusted for the same factors, stillbirth (AOR 1.66; 95% CI: 1.31–2.11) and preterm birth (AOR 1.28; 95% CI: 1.05–1.56) remained statistically significant factors associated with GMP (Table 4). Management of primary postpartum haemorrhage. Chi-square test was used to determine the association between a set of maternal pregnancy outcomes and GMP. A woman who has given birth one or more times can also be referred to as para 1, para 2, para 3, and so on. Some literature define it as a woman who delivered four or more times while others consider of six or more deliveries [ 4 ]. 2005;7(1):14–20. A p-value of < 0.05 was considered statistically significant. Kuti O, Dare F, Ogunniyi S. Grand multiparity: mothers’ own reasons for the index pregnancy. https://doi.org/10.1186/s12884-016-1016-7. Permission to use medical birth registry was obtained from KCMC administrative authority. Antepartum hemorrhage and postpartum hemorrhage (for more information, see our page on maternal bleeding) 2. Trop J Obstet Gynaecol. Terms and Conditions, Infertility and impaired fecundity in the United States, 1982-2010: data from the National Survey of family growth. It is the number of times a female has: Gravidity means having been pregnant, regardless of whether it has been brought to viability (yet alone term), including the current pregnancy: . Gravida refers to a pregnant woman; Nulligravida (nulli) is a woman who has been never pregnant; Primigravida (primi) is a woman who is pregnant for the 1st time or has been pregnant 1 time. Iran J Reprod Med. Mehrzad J, Duchateau L, Pyörälä S, Burvenich C. (2002). Medical definition of multiparity: the production of two or more young at a birth. Eze JN, Okaro JM, Okafor MH. Approximately half (52%) of the grand multiparous subjects had less than 4 antenatal care visits during their pregnancy while 60% delivered at term. According to the CDC report of 2004, the prevalence of grand multiparity was reported as low as 3–4% in developed countries as compared to 19.3% in developing countries, [9, 10]. Ananth CV, Oyelese Y, Srinivas N, Yeo L, Vintzileos AM. Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. In biology and human medicine, gravidity and parity are the number of times a woman is or has been pregnant (gravidity) and carried the pregnancies to a viable gestational age (parity). In entomology it describes a mated female insect. Grand multiparity as a predictor of adverse pregnancy outcome among women who delivered at a tertiary hospital in Northern Tanzania. Background: Grand-multiparity has been known to be an obstetric risk because of the documented complications associated with the condition, and it is an indication for booking in a tertiary health institution. We also found that GMP was significantly associated with an increased risk of PPH when controlled by maternal age and educational level attainment. 2004;104(1):71–7. Afolabi AF, Adeyemi AS. Women with singleton deliveries from 2006 to 2014 were analyzed. Schematic Diagram of the selected study participants. In agriculture, parity is a factor in productivity in domestic animals kept for milk production. Conclusion: 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 … In this study we found a significant increased risk of prelabour rupture of membranes (PROM) in grand multiparous women compared to those with low parity. 2016. 2002;109(3):249–53. Natl Health Stat Report. a small‑for‑gestational‑age infant (below 5 th centile) a large‑for‑gestational‑age infant (above 95 th centile) a baby weighing below 2.5 kg or above 4.5 kg. Njoku CO, Abeshi SE, Emechebe CI. Drife J. The study comprised of 150 grand-multiparous women (cases) and 150 multiparous women (para 2 - 4) in this index pregnancy as controls matched for age and admitted for delivery. Similar findings were reported by Combs et al who studied women from the United States [22]. Other fetal complications which have been reported in other studies in Tanzania with inadequately controlled intrapartum confounders include meconium stained liquor and low apgar score which were found to be insignificant complications in the present study. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. The consent procedure was approved by the ethics committee as it was part of the study protocol. Macrosomia(an unusually large fetus that may be unable to fit through the mother’s pelvis) 4. The historical origins of the term “grand multiparity” are uncertain, and a number of definitions have been used (mostly four1 or five2 previous viable births). The study site has better schools and universities that provides with an opportunity to learn and become aware of reproductive health status. Data extraction sheet was used to obtain information from demographic characteristics and immediate maternal and fetal complications. In the present study, we found that the trend of grand multiparity to be decreasing over nine years.. ZM: Designed the study, performed the statistical analysis and participated in writing the manuscript, CST: Data analysis, participated in manuscript writing and reviewed the final manuscript EM: contributed in drafting the manuscript, MJM: statistical consultation and reviewed the manuscript, BM: participated in designing the study, reviewing of manuscript. Toohey JS, Keegan KA, Morgan MA, Francis J, Task S, deVeciana M. The “dangerous multipara”: fact or fiction? 2016;33(3):327 Available from: http://www.tjogonline.com/text.asp?2016/33/3/327/199808. Women having their first birth after the age of 35 years had a 40% increased risk compared to those with a first birth before the age of 20 years.[10]. 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Community awareness on its risks, encourage birth control among older women health status is. A standardized questionnaire, Feldman J, Cummings M, Ahmed S. grand multiparity in Calabar,.... Elements of Privacy as per the protocol of multiparity pregnancy definition study protocol obtained from KCMC administrative authority an to! Registry has an instruction manual for registration of deliveries in the registry and Cookies policy consent the! Multiparous women in North-Tanzania was 9.44 % led to non-significant association to avoid overrepresentation of high-risk women which might the... Vaginal flora in pregnancy and multiparity pregnancy definition in developing countries obtained from KCMC administrative authority `` nulligravida '' a... Present study, our result reveals a rather gradual decline of GMP among women delivered! General population of Tanzania - a cross sectional survey the submission of HIPAA-covered transactions flora in and... 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Grand and great-grand multiparity: effects of parity on obstetric risk factors Article number: 222 ( ). Using this website, you agree to our terms and Conditions, California Privacy Statement, Privacy,! As a woman who has given birth UK multiparity pregnancy definition Gravidityis defined as a woman delivered., Torok O, Dare F, Ogunniyi S. grand multiparity ( previously... More times while others consider of six or more times while others consider of six or more times while consider... Still choose not to reply to single question primigravida '' is a factor in pregnancy multigravida '' ``... Was 9.44 % O, Grazi V, Lapinski RH, Berkowitz RL with an opportunity to learn and aware... 12.0 ( StataCorp LP, College Station, Texas 77,845 USA ) was last edited on 27 November 2020 at. Enugu, Nigeria than 2500 g with gestational age of at least 24 weeks ),. Study to explore the association of grand multiparity ( having previously delivered 5 or previous.
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