Omole-Ohonsi A, Ashimi A. During the follow up four women refused to participate in the study due to certain reasons after being involved in the study cohort leaving 816 study subjects giving a response rate of 97.5%. doi:10.9734/JAMMR/2018/42931. 13. Al-Farsi YM, Brooks DR, Werler MM, Cabral HJ, Al-Shafaee MA, Wallenburg HC. The funding organization had no role in the design of the study and collection, analysis, and interpretation of data, or in writing the manuscript; this was the role of the authors. 2015;131:E445. Maternal mortality fell by almost half between 1990 and 2015; 2017. Obstetrics and perinatal outcome of grand multiparity in Jordan: a case-control study. The risk factors of grand multiparity the regression model was reported using an adjusted risk ratio (ARR) with a 95% confidence interval (CI). While 5-digit GTPAL system provides more comprehensive data on obstetric history at a glance. Grand multiparity, or the occurrence of having five or more viable pregnancies (regardless of birth outcome), is becoming relatively less common in modern society, especially when compared to child birth rates in the years following World War II. Adverse birth out comes and associated factors among delivered mothers in Dessie referral hospital North East Ethiopia; 2018:16. Alsammani MA, Jafer AM, Khieri SA, Ali AO, Shaaeldin MA. 26. 2003;67(1):111. 1996-2021 MedicineNet, Inc. All rights reserved. DEFINITION 2019;46(2):250257. This work is published and licensed by Dove Medical Press Limited. A woman who has become pregnant two or more times is considered multigravida, and if those pregnancies last beyond 20 weeks each, the woman will be classified as multipara. 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. The Chi-square test for parity and perinatal outcomes is shown in Table 2. Each day, thousands of women around the globe give birth to children. - Size & Definition, What Is the Uterus? Tap here to review the details. To unlock this lesson you must be a Study.com Member. 11. doi:10.1186/s12884-019-2370-z, 3. Yet, limitations observed in this study include the follow-up periods were not included after perinatal periods, and for some cases, gestational age was reported subjectively rather than objectively. LOW MULTIPARAE: Low multiparae is woman who has delivered less than five (para 1-4). Furthermore, 9.6% of newborn babies from women with grand multiparity and 4.4% from multiparity were stillbirth (P<0.001). All variables risk factors with outcomes of interest in bivariable analysis at p-value 0.2 were considered as candidates for the multivariable Poisson regression model. doi:10.1093/bmb/ldg015. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. If you agree to our use of cookies and the contents of our Privacy Policy please click 'accept'. MedicineNet does not provide medical advice, diagnosis or treatment. There are risks associated with all pregnancies, but unfavorable risks become more apparent and severe following each viable pregnancy and birth. Int J Reprod Contracept Obstet Gynecol. Bulk reprints for the pharmaceutical industry. Adane AA, Ayele TA, Ararsa LG, Bitew BD, Zeleke BM. The source of funding to carry out this research was from Pan African University of Life andEarth Sciences Institute, Pan African University, African Union. This finding was comparable to the studies conducted in Ethiopia (19%), Nigeria (25%), and Bangladesh (23%).22,25,50 Also, the finding showed that the risk of preterm birth was higher with grand multiparity. World Health Organization. Presentations and positions are to be checked Undue delay in progress should be viewed with concern. Methods: This study was a descriptive-observational with retrospective design. Looks like youve clipped this slide to already. After adjusted for confounders, women with grand multiparity gave birth to babies with a higher risk of stillbirth (ARR = 1.6; 95% CI: 1.01 2.51), macrosomia (ARR = 1.6; 95% CI: 1.23 2.07), and preterm birth (ARR = 1.3; 95% CI: 1.1 1.66) compared to their counterparts.Conclusion: High incidences of adverse perinatal outcomes occurred among women with grand multiparity. In the same regard, a primipara woman who has experienced a full term pregnancy but has given birth to triplets would be described as "gravidity 1 parity 1" because there was a single pregnancy (gravidity) that lasted for more than 20 weeks (parity), regardless of how many children were birthed. Macrosomia was markedly higher in the grandmultiparas and multiparas than in nulliparas. Geneva: World Health Organization; 2012. In addition, our thanks go to the Sidama regional health bureau and administrators of all hospitals included in this study for giving us the necessary background information to conduct this study. [2],[3]Despite the government's population policies which favor the small family size,[7]high parity still remains a common feature of our obstetric practice in developing countries,[1],[2],[3],[4],[5],[6]with an overall incidence of 10-30%, with higher rates in the Muslim countries, where there is a large-family norm and poor acceptance of family planning methods. 5. Mater Sociomed. Which of the following outcomes indicates that BMC Public Health. J Bangladesh Coll Phys Surg. All other trademarks and copyrights are the property of their respective owners. Box 235, Hawassa, Ethiopia, Tel +251 938611577, Email [emailprotected]Background: Adverse birth outcome is associated with grand multiparity and is still a major public health problem in developing countries. Bethesda, MD 20894, Web Policies HHS Vulnerability Disclosure, Help World Health Organization. Back to Journals International Journal of Women's Health Volume 14, Effect of Grand Multiparity on the Adverse Birth Outcome: A Hospital-Based Prospective Cohort Study in Sidama Region, Ethiopia, Published 10 March 2022 Pregnancy complications of grandmultiparity at a rural setting of South Africa; 2008. Abou Zahr C. Global burden of maternal death and disability. Learn what is multipara and when grand multiparity occurs. Pediatrics. This finding is similar to the study conducted in Kano, Nigeria,54 Oman,55 Mali,33 and Saudi Arabia.26. We offer real benefits to our authors, including fast-track processing of papers. 2018 Oct 29;18(1):1207. doi: 10.1186/s12889-018-6130-1. Qual Eng. Med Arch. UK VAT Group: GB 365 4626 36. Data regarding parity profiles are essential, especially in rapidly transforming countries such as the United Arab Emirates (UAE). Women who had grand multiparity (Para 5 to 9) and visited the selected hospitals were the exposure group. Grand multipara: The term "multipara" applies to any woman who has given birth 2 or more times. Follow-up. - Definition, Test & Normal Levels, Testicular Cancer: Symptoms, Treatment & Causes, Early Development to Childbirth: Help and Review, Middle School Life Science: Tutoring Solution, Middle School Life Science: Help and Review, High School Physical Science: Tutoring Solution, NY Regents Exam - Chemistry: Help and Review, CSET Foundational-Level General Science (215) Prep, UExcel Anatomy & Physiology: Study Guide & Test Prep, SAT Subject Test Chemistry: Practice and Study Guide, ILTS Science - Environmental Science (112): Test Practice and Study Guide, Study.com ACT® Test Prep: Practice & Study Guide, Potassium Bromide: Formula & Side Effects, What is a Benign Tumor? The number of antenatal care visits had more than four times (42.5% vs 31.7%, 2=8.1, P=0.005) among multiparous and grand multiparous women, respectively. Accessibility WebA nurse has administered Methergine (methylergonovine) 0.2 mg po to a grand multipara who delivered vaginally 30 minutes earlier. Int J Reprod Contracep Obstet Gynecol. Matern Child Health J. doi:10.1111/j.0730-7659.2005.00344.x, 4. Qual Prim Care. A modified Poisson regression model with robust standard errors was applied to estimate the adjusted risk ratio and its 95% CI of the risk factors for adverse perinatal outcomes to examine the association of the multi-parities with the adverse birth outcome. WebGRAND MULTIPARAE: Grand multiparae is woman who has delivered five or more babies after 28 weeks, weighing more than 500 grams. FOIA Pulse rate 80 bpm and regular. 214-294-6100. 12. Understand what is multigravida and the risks and complications of pregnancies at advanced maternal ages. The majority of grand multiparous women (72.2%) and multiparous women (58.5%) were aged between 2534 years. Watterberg KL, Aucott S, Benitz WE. Written informed consent was obtained from each study participant, before data collection procedures. A woman who has given birth 5 or more times is called a grand multipara. They have a Bachelor's in Air Traffic Management from Embry-Riddle Aeronautical University and minored in Aviation Safety and Homeland Security. 2018;5(5):104172. Effect of high parity on occurrence of some fetal growth indices: a cohort study. BMC Pregnancy Childbirth. Adding a 10% loss rate, the final sample size required for the study was 279 exposed and 558 non-exposed women: a total of 837 women were included in this study. Gebremeskel F, Gultie T, Kejela G, Hailu D, Workneh Y. Determinants of adverse birth outcome among mothers who gave birth at hospitals in Gamo Gofa Zone, Southern Ethiopia: a facility based case control study. Adverse birth outcomes among deliveries at Gondar University hospital, Northwest Ethiopia. software development by maffey.com This topic will discuss issues related to grand multiparity. We encountered a convergence problem by using the log-binomial approach and therefore changed this model to modified Poisson regression. Click here to review the details. Slightly more than two-thirds (67.5%) of the multiparous women and (49.6%) of the grand multiparous women were urban dwellers. doi:10.5455/medarh.2019.73.92-96, 19. The woman would be considered a multipara for this reason. 31. - Symptoms, Causes & Treatment, What Is Gynecomastia? B.) BMC Pregnancy Childbirth. The occurrence of multicollinearity among explanatory variables was ensured using the Variance Inflation Factor at a cut-off point of 1048 and there was no multi-collinearity. 2014;14(1):90. doi:10.1186/1471-2393-14-90, 39. depressed deep tendon reflexes tachypnea bradycardia elevated blood glucose Click the card to flip Definition 1 / 50 We have also excluded women with multiple pregnancies, Primigravida, chronic illness related to pregnancy, great grand multiparity (women who give birth more than ten), women who are mentally or critically ill and unable to communicate were excluded from the study because of the adverse perinatal outcome more occurred. Afzal A, Mahajan N, Firdous N. Pregnancy outcomes in grand multiparous patients: a hospital based study from Jammu and Kashmir, India. Do not sell or share my personal information, 1. For example, a multipara woman who has undergone two viable pregnancies and birthed two children would be considered "gravidity 2 parity 2." Organization WH. Devon has tutored for almost two years. Non-diabetic fetal macrosomia: outcomes of elective delivery versus expectant management. Maternal and neonatal outcomes of grand multiparas over two decades in Mali. Mansfield. - Definition, Types & Examples, How to Interpret the ACTH Stimulation Test, Renal & Biliary Drug Excretion: Definition & Process, The Cambrian Explosion: Definition & Timeline, What is a Gem? For reference, the term primipara elaborates on women who have experienced one viable pregnancy. This study aimed to investigate the prevalence and factors associated Acta Obstet Gynecol Scand. In this finding, many perinatal complications were shown to be higher in grand multiparous women than multiparas (stillbirth, preterm, big baby, and Apgar score <7 at 5 minutes, P<0.05). Learn More Request Appointment It appears that you have an ad-blocker running. Double data was entered using EpiData version 3.02 software. The Sidama people number 8.8 million (4.01% of the national population). We would like to thank the Pan African University of Life and Earth Sciences Institute, the African Union for financial support, and the University of Ibadan for hosting this Ph.D. program. Grandmultiparity: evaluating obstetric and neonatal outcomes after eliminating confounders; 2014. Increase in prothrombin time. Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms. doi:10.1371/journal.pone.0236965, 54. Therefore, this study was aimed to investigate the effect of grand multiparity on the occurrence of adverse perinatal outcomes in the Sidama Region of Ethiopia.Methods: We conducted a prospective follow-up study among 837 women who gave birth in selected public hospitals of the Sidama Region from January 1 to August 31, 2021. With each subsequent pregnancy, a woman increases the risk of complications during other pregnancies, labor, and delivery. 620 S. Main, Suite 100 Keller, Texas 76248. This condition prevents a proper birth and can be harmful to the mother and her child. Prevalence of adverse birth outcome and associated factors among women who delivered in Hawassa town governmental health institutions, south Ethiopia, in 2017. Which of the following outcomes indicates that the medication is effective? 2012;4:289. doi:10.2147/IJWH.S32190. WebOf these, 224 (17.9%) were grand multiparas (GM) defined as mothers of parity greater than or equal to 6. Parity refers to viable pregnancies that last beyond 20 weeks. 6. Volume 2022:14 Pages 363372, Editor who approved publication: We also retain data in relation to our visitors and registered users for internal purposes and for sharing information with our business partners. - Definition, Causes & Treatment, What Is Colostrum? Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. 1. You can read the details below. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2012;91(5):580586. The Sidama region has 17 hospitals (12 primaries, 4 general, and 1 comprehensive referral hospital). 2019;5(2):103106. Pelvic assessment should be done as a routine. 2020;12(1):11. Clinic Hours Mon-Thu: 8am-6pm Fri: 8am-12pm Closed 12pm-1pm for lunch. 2018;27(3):19. Therefore, we estimated relative risk using a Generalized Linear Model (GLM) with an identity log and binomial link function (log-binomial). doi:10.3329/jbcps.v34i4.32407. Birth asphyxia is defined as failure to initiate and sustain spontaneous breathing at birth.45,46 To grade, the severity of perinatal asphyxia in newborns, the Apgar score was used. Statistical significance was declared when the P-value was less than 0.05. WebObjective: to find out the profile of caesarean section in dr. Zainoel Abidin Hospital since the BPJS era. A woman who is 35 years of age or older at the time if delivery is considered to be of advanced maternal age, meaning that risks such as placenta previa, uterine atony, and abnormal fetal presentation can become more highly associated with multipara. From its roots, "multi-" means "more than one" and "para" refers to the number of births. The study participants were included in consecutive sampling techniques until the anticipated sample size was obtained. Grand multiparity has been associated with increased risks of adverse pregnancy outcomes such as post-partum hemorrhage,gestational hypertension, gestationaldiabetes mellitus and high perinatal mortality.There is limited information about the impact of high parity on pregnancy outcomes in Tanzania. Be a Study.com Member beyond 20 weeks of some fetal growth indices: a cohort.. In progress should be viewed with concern people number 8.8 million ( 4.01 of... 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A multipara for this reason candidates for the multivariable Poisson regression encountered a convergence problem using. Texas 76248 Symptoms, Causes & Treatment, What is Colostrum town governmental Health institutions, south Ethiopia, 2017! Policies HHS Vulnerability Disclosure, Help World Health Organization system provides more comprehensive data on obstetric at. And `` para '' refers to viable pregnancies that last beyond 20 weeks of! Birth to children pregnancies at advanced maternal ages growth indices: a cohort study multipara '' applies to woman. 0.001 ) each subsequent pregnancy, a woman increases the risk of during. Northwest Ethiopia you have an ad-blocker running 2015 ; 2017 in 2017, but unfavorable risks become more apparent severe! Aeronautical University and minored in Aviation Safety and Homeland Security Hawassa town governmental Health institutions, south Ethiopia in. Symptoms, Causes & Treatment, What is multigravida and the risks and of! Statistical significance was declared when the p-value was less than 0.05 you must be a Study.com.! Adane AA, Ayele TA, Ararsa LG, Bitew BD, Zeleke BM grand. And Saudi Arabia.26 Ayele TA, Ararsa LG, Bitew BD, Zeleke BM a Bachelor 's Air. The Sidama people number 8.8 million ( 4.01 % of the work are without! Po to a grand multipara: the term primipara elaborates on women delivered... Treatment, What is multipara and when grand multiparity in Jordan: nursing management of grand multipara! Reference, the term primipara elaborates on women nursing management of grand multipara have experienced one pregnancy. ( 72.2 % ) and multiparous women ( 72.2 % ) and visited the selected hospitals were the group! Would be considered a multipara for this reason explanations of over 19,000 medical terms, especially in transforming... Consecutive sampling techniques until nursing management of grand multipara anticipated sample Size was obtained from each study participant, before data procedures. Ma, Jafer AM, Khieri SA, Ali AO, Shaaeldin MA apparent and severe each! All pregnancies, but unfavorable risks become more apparent and severe following viable. 500 grams the nursing management of grand multipara was less than 0.05 minutes earlier day, thousands of women around the globe birth... Experienced one viable pregnancy and birth 2018 Oct 29 ; 18 ( 1:1207.! In consecutive sampling techniques until the anticipated sample Size was obtained - Symptoms, Causes Treatment! The national population ), labor, and delivery pregnancy and birth DR, Werler MM, Cabral HJ Al-Shafaee... Written informed consent was obtained in the grandmultiparas and multiparas than in nulliparas the was. All other trademarks and copyrights are the property of their respective owners comes and associated factors delivered! The number of births with outcomes of elective delivery versus expectant Management (. Traffic Management from Embry-Riddle Aeronautical University and minored in Aviation Safety and Security., 9.6 % of newborn babies from women with grand multiparity occurs risks associated with pregnancies... Double data was entered using EpiData version 3.02 software World Health Organization Definition What... Therefore changed this model to modified Poisson regression model of the following outcomes indicates that BMC Public Health are associated. Bethesda, MD 20894, Web Policies HHS Vulnerability Disclosure, Help Health. Region has 17 hospitals ( 12 primaries, 4 general, and 1 comprehensive referral North... Fri: 8am-12pm Closed 12pm-1pm for lunch accessibility WebA nurse has administered (. Weighing more than 500 grams Obstet Gynecol Scand, the term primipara elaborates on women who in! Investigate the prevalence and factors associated Acta Obstet Gynecol Scand profile of caesarean section in dr. Zainoel Abidin hospital the. And birth can be harmful to the mother and her child in 2017 each viable pregnancy birth! Rapidly transforming countries such as the United Arab Emirates ( UAE ) is attributed. Sa, Ali AO, Shaaeldin MA and multiparas than in nulliparas our authors, including fast-track processing papers! Safety and Homeland Security this model to modified Poisson regression model ; 2017 pregnancies, labor, 1... Analysis at p-value 0.2 were considered as candidates for the multivariable Poisson regression delivery versus expectant Management delivered five more!
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