The grand multipara

Gil A. Goldman, Boris Kaplan, Alexander Neri, Rivka Hecht-Resnick, Linda Harel, Jardena Ovadia

Research output: Contribution to journalArticlepeer-review

Abstract

Grandmultiparity (GMP) has long been considered an obstetric complication for both mother and fetus, although recent studies indicate that, with proper perinatal care, wome with high-parity rates are no longer at high risk. 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). Excellent prenatal care was available free of charge to all parturients. Our objectives were to evaluate the management of GMP in contemporary obstetrics and to assess whether grand multiparas are still high-risk patients. The age of the grandmultiparas was significantly higher compared with the control groups, which may explain the higher incidence among them of antenatal medical disorders, such as diabetes mellitus and hypertensive disease. No significant differences were found among the three groups for preterm or post-term births, small-for-gestational-age infants, polyhydramnios, oligohydramnios, perinatal death, fetal distress, multiple births, placenta previa, abruptio placentae or cord prolapse. Macrosomia was markedly higher in the grandmultiparas and multiparas than in nulliparas. Thus, our results indicate that good perinatal care can ensure better results in grandmultiparas, and that grandmultiparity no longer needs to be considered a high-risk obstetric category in our population.

Original languageEnglish
Pages (from-to)105-109
Number of pages5
JournalEuropean Journal of Obstetrics, Gynecology and Reproductive Biology
Volume61
Issue number2
DOIs
StatePublished - Aug 1995
Externally publishedYes

Keywords

  • Grandmultiparity
  • High-risk pregnancy and delivery

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