Abstract: Grand multiparous women [Para ≥5] have been considered to be at a higher risk to develop maternal, fetal and neonatal complications compared to women of lesser parity. However, this relationship between grand multiparity and obstetrical complications has been controversial. Saudi population has been found to have a fertility rate high enough to stigmatize it as a high risk population. There hasn’t been any previous study targeting the Saudi population. OBJECTIVE: To identify the association between different feto-maternal and neonatal outcomes and presence of maternal grand multiparity. METHODS: The medical records of 151 grand multiparous women [parity >5] and 212 women with parity of 2 to 4 was chosen were reviewed. RESULTS: Grand Multipara group tended to have a significant higher age [P<0.001], a significant higher tendency to abortions [P=0.02], a significant higher tendency to iron deficiency anemia with [P=0.03] and a boarderline significant higher tendency to hypertension [P=0.07], more multiple pregnancies [P=0.005]. Multipara women neonates tended to require more initial resuscitation effort with P=0.001. CONCLUSION: This study suggests that grand multiparity had only a significantly higher incidence of multiple pregnancies. Taking into account past medical history and fair antenatal care, grand multiparity should not be considered as an individual risk factor.
Keywords: Grandmultiparity, maternal, neonatal, fetal, complications, Saudi Arabia, abortions, hypertension.
Title: Grandmultiparity, Fetomaternal and Neonatal Outcome
Author: Hanan Al Kadri, Rami Akkielah, Layan Akkielah, Yara AlSaif, Ageel AlMahdaly
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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