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grand multiparity complications

Young grand multiparas were not at significantly increased risk for a number of complications.  |  Young grand multiparas were more likely to have a preterm delivery and less likely to experience fetal distress, instrumented delivery, cesarean delivery, and any intrapartum complication than young nulliparas or primiparas. Corresponding author: Sara M. Ellis Simonsen, RN, MSPH, Department of Family and Preventive Medicine, 375 Chipeta Way, Salt Lake City, UT 84101; e-mail: [email protected]. Underappreciated risks of the elderly multipara. The primary aim of the present study was to determine whether grand multiparity is independently associated with maternal and perinatal mortality, placental abnormalities, obstetric complications, and abnormal neonatal birthweight. Complications 41 models. [email protected]. These variables were created to evaluate whether grand multiparity is a risk factor for any intrapartum or newborn complication. In his 1934 article, Solomons wrote, “My main object is to remove, if possible, once and for all, the idea that a primigravida means a difficult labor but a multipara means an easy one. Our study included a larger number of grand multiparas (n = 11,351) than any previously reported study. We did not have unique identifiers for individuals in our data set. Wolters Kluwer Health A review of 5785 cases. Seidman DS, Armon Y, Roll D, Stevenson DK, Gale R. Am J Obstet Gynecol. Two composite variables were also created, one representing any intrapartum event and one representing any newborn event. 1 time(s). Reasons for current pregnancy amongst grand multiparous Gambian women - a cross sectional survey. Among young women, grand multiparity is associated with a decreased risk of intrapartum complications, fetal distress, surgical and instrumented delivery, malpresentation, newborn complications, preterm delivery, assisted ventilation, and birth injury. A number of variables were included in the multivariate models to control for confounding, but there is a chance that important confounders were excluded from the models. They found an increased risk of neonatal morbidity, perinatal death, and any obstetric complication among nulliparous women and women with parity of 4 or more. The models for all intrapartum complications and most newborn complications were also adjusted for induction of labor, augmentation of labor, preeclampsia, and gestational diabetes. NIH Grand multiparity increased primarily over the most recent decade; Chronic hypertension and diabetes mellitus increased mostly during the past two decades; Women of very advanced maternal age had significantly higher complication rates throughout the study period for the following 1997; 59(3):213-6 (ISSN: 0020-7292) Abu-Heija AT; Chalabi HE. Neonatal outcomes included preterm birth (delivery at < 37 weeks of gestation), newborn transfer to a hospital facility or newborn intensive care unit, meconium aspiration, assisted ventilation for more than 30 minutes, hyaline membrane disease, and birth injury. We have no reason to believe that differential underreporting occurred by parity in these data; thus, underreporting should not affect the quality of our reported risk ratios. Thus, the decision to use age 35 as the cutoff for “young women” was made. may email you for journal alerts and information, but is committed Great grand multiparity was found an independent risk factor for labour dystocia, first stage (OR=2.6, P<0.001), labour dystocia, second stage (OR=2.1, P<0.001), and perinatal mortality (OR=2.5, P<0.001). Email Address * Locations. 16.Gortzak-Uzan L, Hallak M, Press F, Katz M, Shoham-Vardi I. Teenage pregnancy: risk factors for adverse perinatal outcome. We conducted a PubMed search for papers published in English before August 2004, using the keyword “grand multiparity.” This study is among the first to specifically examine the risk for intrapartum and newborn complications in young grand and great grand multiparas compared with young women of low parity and older grand and great grand multiparas. In addition, the rates of complications in young grand multiparas were compared with those in older (aged ≫ 35 years) grand multiparas. Numerous obstetric complications have been independently associated with progressive maternal age, yet most studies of grand multiparity have failed to consider this potentially confounding effect in their analysis. When compared with young primiparas, young grand multiparas (parity 5–9) were at significantly increased risk for preterm delivery and at significantly decreased risk for any intrapartum complication, fetal distress, primary and repeat cesarean delivery, and instrumented delivery. , Schmuel E, Hakim M, Shoham-Vardi I. Teenage pregnancy: risk factors adverse. Multipara ’ ’ –is it a problem theimpact of maternal and peripartum complications after for! Importance of birth order and advanced maternal age on birth outcomes among young women ” was.. Dec 18 ; 8 ( 12 ): e81959 major problem in societies a! To incorrect sign in attempts and will be automatically unlocked in 30 mins these variables were also created, of. Does not increase the risk of adverse maternal and neonatal outcomes in grand multiparity from Africa, where the rates! H, Robillard PY, Verspyck E, Hulsey TC, Marpeau L Neri., Wong FW, Bauman a, Rabinerson D, Goldman GA, Chayen B G. and! 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