[Pregnancy and delivery in grand multiparas in Morocco].

The authors analysed 602 case histories of patients who had had 6 deliveries or more in order to evaluate the prognosis of grand multiparity and its repercussions on the mother and infant. The authors point out that all the complications of pregnancy and the puerperium can occur but with an increased frequency. In particular toxaemia of pregnancy, abruptio placentae and dystocic labours, as well as uterine rupture, occur. The prognosis for the fetus is also made worse because they are threatened with prematurity and death. The authors conclude that only making antenatal care obligatory and a better acceptance of family planning could one day bring success to the fight against the rapid advance to grand multiparity which is not controlled and to avoid the risks of the condition.