The Prevalence, the Fetal and Maternal Outcomes in Grand Multiparas Women.

INTRODUCTION

The incidence of grand multiparty in Saudi Arabia is high; there are no adequate studies about the grand multiparty.

AIM: The aim to determine the prevalence, fetal and maternal outcomes in grand multipara women in comparison to primipara's women.

METHODS

A retrospective study, the data was collected from our hospital records of labour and delivery unit started from January 2016 to December 2016.

RESULTS

The analysis was done in 415 charts divided into two group 1 consist of (120 primigravidas) used as the control and group 2 the study group (295 grand multiparas). When comparing the maternal age between the two groups, grand multipara was older (mean of 36.9 ± 4), and primigravida age (33.5 ± 5.7) with a p-value < 0.001. The fetal weight, Gestational age, and Apgar score at 1, and 5 min, the type of delivery, medical disease are common in grand multipara and statistically significant P<0.001. However, HTN is more common in primigravida but not statistically significant with P value <0.287. Premature rupture of membrane. Intrauterine growth retardation breech presentation and preterm labour, Placental abnormality and postpartum haemorrhage more common in grand multipara and statistically significant a p-value < 0.001. The neonatal outcome, ICU admission, intrauterine fetal death all were similar in each group, not statistically significant. Logistic regression performed of a different variable.

CONCLUSION

Grand multipara is common in our institution and the outcome of medical diseases, and obstetrical complication is more in grand multipara than primigravida.