Demographic and obstetrics characteristics of the study participants are summarized in Table 1. The condition of being multiparous. However, addition of other covariates in the model led to non-significant association. Obstet Gynecol. Grand multiparity is therefore a serious public health issue in Cameroon, particularly in rural zones. Trend in grand-multiparity was determined by calculating yearly proportions and displayed using a line graph. This calls for a need to increase community awareness on its risks, encourage birth control among older women. © 2020 BioMed Central Ltd unless otherwise stated. Adverse outcomes associated with GMP include diabetes, premature labor, maternal and perinatal mortality, placenta previa, genital sepsis, postpartum hemorrhage (PPH), utero-vaginal prolapse, hypertension and Intrauterine fetal death (IUFD) [6, 7, 10, 13]. https://doi.org/10.1186/s12884-016-1016-7. Parityis defined as the number of times that she has given birth to a fetus with a gestational age of 24 weeks or more, regardless of whether the child was born alive or was stillborn. 2005;7(1):14–20. Accessed 15 Dec 2018. A total of 18,441 deliveries were analyzed. A retrospective cross-sectional study was conducted at Kilimanjaro Christian Medical Centre (KCMC) using maternally linked data from medical birth registry. http://dx.doi.org/10.4314/tjog.v23i1.14555, https://doi.org/10.1016/j.apjr.2016.04.012, http://www.tjogonline.com/text.asp?2016/33/3/327/199808, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610637/, https://www.globalfinancingfacility.org/sites/gff_new/files/Tanzania_One_Plan_II.pdf, https://doi.org/10.1186/s12884-016-1016-7, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, https://doi.org/10.1186/s12884-019-2377-5, Pregnancy and childbirth in low and middle income countries. The social class and reasons for grand multiparity in Calabar, Nigeria. All authors have read and approved the final manuscript. This study has demonstrated that GMP women had an increased odds of experiencing stillbirth and preterm births as compared to women with low parity as previously described in published data from Uganda and Nigeria [9, 21, 22]. The association of grand multiparity and poor pregnancy outcome has not been consistent for decades. Descriptive statistics were summarized using frequency and percentages for categorical variables. Background: Grand multiparity is a high-risk pregnancy, and it is a common phenomenon in this part of the world, and when added to low socioeconomic status, it significantly increases obstetrics risk to mother and fetus. Management of primary postpartum haemorrhage. Hoque M, Hoque E, Kader SB. Trend of grand multiparity from 2006 to2014 at KCMC. For example, a woman who is described as 'gravida 2, para 2 (sometimes abbreviated to G2 P2) has had two pregnancies and two deliveries after 24 weeks, and a woman who is described as 'gravida 2, para 0' (G2 P0) has had two pregnancies, neithe… The code Z64.1 is applicable to female patients only. Chandra A, Copen CE, Stephen EH. This hospital-based study used a birth registry data collected routinely at KCMC using a standardized questionnaire. Most online reference entries and articles do not have page numbers. For practical reasons, the midwives give oral information individually to each mother and then asked her willingness to participate/be enrolled in the study and their data to be used for the public benefits. Independent variables included parity status as the main exposure whereby multiparity was defined as a parity of 2 to 4 deliveries while grand multiparity was defined as a parity of 5 or more deliveries. Drife J. Omole-Ohonsi A, Ashimi AO Niger J Clin Pract 2011 Jan-Mar;14(1):6-9. doi: 10.4103/1119-3077.79231. Am J Obstet Gynecol. Privacy Antepartum hemorrhage and postpartum hemorrhage (for more information, see our page on maternal bleeding) 2. Refer to each style’s convention regarding the best way to format page numbers and retrieval dates. ny • n. Law (in many U.S. states and formerly in Britain) theft of personal property having a value above a legally specified amount. Am J Obstet Gynecol. Since then, medical records for all women who deliver at KCMC and their newborns have been prospectively collected and stored at the medical birth registry. Alsammani M, Ahmed S. Grand multiparity: risk factors and outcome in a tertiary hospital: a comparative study. Muniro, Z., Tarimo, C.S., Mahande, M.J. et al. An evaluation of the weight of this problem and an understanding of the maternal and fetal outcomes in a rural setting of Cameroon is indispensable as interventions aimed at reducing maternal and neonatal morbi-mortality requires this data. Jos J Med. In the present study, we found that the trend of grand multiparity to be decreasing over nine years.. Therefore, that information is unavailable for most Encyclopedia.com content. As Sustainable Development Goal’s (SDG) efforts to address promotion of maternal health and reduction of child mortality becomes intensified, regional specific investigation to inform the public health on potential effect of factors that presents a significant risk to the pregnant mother and the birth outcome are imperative. Grand multiparity and low contraceptive prevalence are dominant among Nigerian women. Hence, it may suffice to say that, in this population, PPH is well explained by GMP condition, maternal age and education level. 1984;150(8):965–72. Despite efforts to reduce maternal and perinatal adverse outcomes in Tanzania, maternal morbidities and mortalities are high. What are synonyms for multiparity? Controversy prevails in the effect of high parity on these complications since some other studies report no increased incidences of obstetric complications [1, 14]. 2007;114(10):1295–7. Like gravidity, parity may also be counted. The authors declared to have no competing interests. This study aimed to determine prevalence, trend and associated adverse … The interpretation and clinical application of the word “parity”: a survey. The ICD-10-CM code Z64.1 might also be used to specify conditions or terms like grand multipara, para 5, para 6, para 7, parity eight, parity nine, etc The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals. Other fetal complications which have been reported in other studies in Tanzania with inadequately controlled intrapartum confounders include meconium stained liquor and low apgar score which were found to be insignificant complications in the present study. In addition, families with 7 or more children have been associated with low socioeconomic status. CAS  Iran J Reprod Med. We compared the maternal and perinatal complications among grand … These files are confidential and contain all patients’ medical records stored at the hospital medical record department. https://study.com/academy/lesson/multipara-definition-risks.html 2010;6(2):39–43. Among other factors, grand multiparity is hypothesized to play a significant role in adverse maternal outcomes especially in low-and-middle income countries like Tanzania. 2013;(67):1–18. Google Scholar. Classifying grand multiparous women as a high-risk group without clear evidence of a consistent association with adverse outcomes can lead to socioeconomic burdens to the mother, family and health systems. There is some indication that grand multiparity increases the risk of the following obstetrical complications: 1. Google Scholar. From this data set a large sample size was obtained thus giving the study more power and making it possible to adjust for confounders as well as making inference in similar settings with high precision. The higher prevalence in the later studies could be explained by high prevalence of young marriage and poor acceptance of modern family planning methods. The prevalence of grand multiparity at the institution over nine years found was found to be 9.44%. Terms and Conditions, Cite this article. Springer Nature. However, this is slightly lower compared to other studies which reported the high prevalence of 10.2 and 26.5% respectively [9, 13]. How do you use multiparity in a sentence? The increase use of contraceptives and improved health care delivery is expected to reduce both the prevalence and complications of this condition. Cite this article. After data extraction from the main database, data were cleaned, checked for consistency and verification of missing values. 1). However, other definitions are also used. BJOG An Int J Obstet Gynaecol. Maternal socio-demographic characteristics included maternal age, residence, level of education, religion, number of antenatal care ANC-visits, gestational age, body mass index (BMI) and marital status. Following consent, the mother could still choose not to reply to single question. Risk factors for prematurity and premature rupture of membranes: a prospective study of the vaginal flora in pregnancy. This was a cross-sectional study using maternally linked data from Kilimanjaro Christian Medical Centre (KCMC) medical birth registry. Mater Sociomed. Ogbe AE, Ogbe BP, Ekwempu C. Obstetric outcome in grand multiparous women in Jos teaching hospital. Grand Multiparity : obstetric outcome in comparison with multiparous women in a developing country. A p-value of < 0.05 was considered statistically significant. 2006;23:8–11 Available from: http://dx.doi.org/10.4314/tjog.v23i1.14555. The average deliveries per year is around 4000. Infertility and impaired fecundity in the United States, 1982-2010: data from the National Survey of family growth. Apart from birth registry, each pregnant woman attending this facility has her history documented on patient file with unique file number. Grand multiparity as a predictor of adverse pregnancy outcome among women who delivered at a tertiary hospital in Northern Tanzania. Pregnancy complications of grand multiparity at a rural setting of South Africa. Moreover, we aimed at assessing the prevalence, trend and associated pregnancy outcomes of grand multiparity in a tertiary hospital in Northern Tanzania over nine (9) years. When fetal outcomes were adjusted for the same factors, stillbirth (AOR 1.66; 95% CI: 1.31–2.11) and preterm birth (AOR 1.28; 95% CI: 1.05–1.56) remained statistically significant factors associated with GMP (Table 4). Trend of GMP among women who delivered at KCMC from 2006 to 2014 was seen to decrease over years. 2004;104(1):71–7. Department of Obstetrics and Gynecology, Kilimanjaro Christian Medical Centre, Box 3010, Moshi, Tanzania, Zainab Muniro, Eusebious Maro & Bariki Mchome, Department of Epidemiology and Biostatistics, Institute of Public Health, Kilimanjaro Christian Medical University College, Box 2240, Moshi, Tanzania, Dar es Salaam Institute of Technology, Department of Science and Laboratory Technology, Box 2958, Dar es Salaam, Tanzania, You can also search for this author in For several decades great grand multiparity has been viewed with great caution. Similar findings were reported by Combs et al who studied women from the United States [22]. London W1A 1DP 1997;259:179–87. Maro EW, Mosha NR, Mahande MJ, Obure J, Masenga G. Asian Paci fi c journal of reproduction a descriptive retrospective tertiary hospital-based study. Cookies policy. Multipara definition: a woman who has given birth to more than one viable fetus or living child | Meaning, pronunciation, translations and examples What is the abbreviation for Grand Multiparity? The prevalence of grand multiparity in this study was consistent with a study done in Saudia by Alsammamiet al which reported a prevalence of 5.3% [15]. Our result is consistent with previous studies done in Nigeria that describe a 3.6–4.2% increase in PROM in grand multiparas as compared to multiparas [16, 17]. Eur J Obstet Gynecol Reprod Biol. Available from: https://www.globalfinancingfacility.org/sites/gff_new/files/Tanzania_One_Plan_II.pdf. BJOG An Int J Obstet Gynaecol. This study found that grand multiparity was associated with maternal and perinatal complications such as prelabour rupture of membranes, stillbirth and preterm birth. Ministry of Health Community Development Gender Elderly and Children. Meaning of MULTIPARITY. Idoko P, Nkeng G, Anyawu M. Reasons for current pregnancy amongst grand multiparous Gambian women - a cross sectional survey. Adverse pregnancy outcomes associated with grand multiparity were estimated using multivariable logistic regression models. volume 19, Article number: 222 (2019) Information on the neonates who are admitted in the neonatal care unit were recorded in neonatal registry forms. 1 : the production of two or more young at a birth. PIP: Grand multiparity has been considered to be a factor in maternal and neonatal morbidity. The lower prevalence in this study can be attributed to standard literacy level of grand multiparas, as over 52% had at least primary level of education. 2001;18(1):31–3. About 64% of grand multiparous women in this study were aged > 35 years and more than half (62.5%) resided in rural area of North-Tanzania. 2002;101(1):22–5. Other patients’ information is entered and kept in various registers at each service delivery points such as theater rooms, labor ward, Intensive Care Unit (ICU) and in the antenatal and postnatal units. © 2003 by Saunders, an imprint of Elsevier, Inc. A reasonable definition of "grand multiparity" is a woman who has had ≥5 births (live or stillborn) at ≥20 weeks of gestation, with "great grand multiparity" defined as ≥10 births (live or stillborn) ≥20 weeks of gestation . In pregnancy Allied health, Seventh Edition of Norway through University of Bergen and of... Of multiparity in the UK: Gravidityis defined as a woman who has had six or times... At a birth registry using this website, you agree to our and. Large fetus that may be unable to fit through the mother ’ s primary aim was to determine association! 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