In multivariable regression analyses, our study did not find a significant association between PPH and GMP. The interpretation and clinical application of the word “parity”: a survey. All authors have read and approved the final manuscript. London W1A 1DP 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. Terms and Conditions, 2016;16(1):1–6. Mater Sociomed. Placental issues, including placenta previaand placental abruption 5. Multiparity is a risk factor for osteitis pubis, sacroiliac, and pelvic pain. England 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. Article 2013;(67):1–18. It is clinically and … a woman who has borne two or more children, or who is parturient for the second time. Idoko P, Nkeng G, Anyawu M. Reasons for current pregnancy amongst grand multiparous Gambian women - a cross sectional survey. Am J Obstet Gynecol. Similar findings were reported by Combs et al who studied women from the United States . BJOG An Int J Obstet Gynaecol. Viable gestational age varies from region to region. Permission to use medical birth registry was obtained from KCMC administrative authority. 2007;114(10):1295–7. Management of primary postpartum haemorrhage. But it can be freely available from the corresponding author on reasonable request. Trend in grand-multiparity was determined by calculating yearly proportions and displayed using a line graph. The overall prevalence of grand multiparity was 9.44% ranging from 9.72% in 2006 to 8.49% in 2014. 2006;23:8–11 Available from: http://dx.doi.org/10.4314/tjog.v23i1.14555. This decline could have a broader range of attributes including availability of higher education to women and increased community awareness on the health risks of giving birth at an advanced maternal age. This study aimed to determine prevalence, trend and associated adverse pregnancy outcomes of grand multiparity in a tertiary hospital in Northern Tanzania. Babinszki A, Kerenyi T, Torok O, Grazi V, Lapinski RH, Berkowitz RL. BMC Pregnancy Childbirth 19, 222 (2019). However, the date of retrieval is often important. Socio-demographic and obstetric information for all women who delivered at KCMC were recorded at the medical birth registry in an electronic database. Ogbe AE, Ogbe BP, Ekwempu C. Obstetric outcome in grand multiparous women in Jos teaching hospital. BJOG An Int J Obstet Gynaecol. n, pl -rae (-ˌriː) (Gynaecology & Obstetrics) a woman who has given birth to more than one viable fetus or living child. However, the first five (5) years in the trend show no bigger differences while in the year 2011 the rise is seen and then followed by the decline. 2005;7(1):14–20. Combs CA, Murphy EL, Laros RK. — multiparous, adj. This could be explained by the fact that since AMA is a major risk for various maternal complications, thus fetus and neonates may always be susceptible to mortality and morbidity. CAS Google Scholar. However, this is slightly lower compared to other studies which reported the high prevalence of 10.2 and 26.5% respectively [9, 13]. Delivery-care facilities should prepare for emergency situation when attending deliveries of high parity group. We compared the maternal and perinatal complications among grand … Grand-multiparity (GMP) condition has been defined differently in several literature [1,2,3]. The grand multiparous women had increased odds of prelabour rupture of membranes (Adjusted odds ratio [AOR] 1.78: 95% CI:1.28–2.49), stillbirth (AOR 1.66: 95% CI:1.31–2.11) and preterm birth delivery (AOR 1.28; 95% CI: 1.05–1.56) as compared to women in the lower parity group. In addition, maternal mortality, as one of the important outcomes was not investigated in this study due to insufficient information regarding maternal deaths in the dataset. Solomons B. Trained midwife nurses conduct interviews on daily basis using a standardized questionnaire for all women who deliver at the hospital within 24 h of delivery or immediately after recovery from a complicated delivery. The average deliveries per year is around 4000. 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]. Adverse pregnancy outcomes associated with grand multiparity were estimated using multivariable logistic regression models. Prevalence of grand multiparity was 9.44%. Data analysis was performed using STATA 12.0 (StataCorp LP, College Station, Texas 77,845 USA). In this study we found a significant increased risk of prelabour rupture of membranes (PROM) in grand multiparous women compared to those with low parity. Google Scholar. Keywords:Grand multiparity, multiparity, great grand multiparity, prenatal care, perinatal death Abstract: Aim: The aim of this study was to perform a systematic review on the maternal and fetal/neonatal outcome of grand multiparity (defined as a woman giving birth for the fifth to ninth time) and on the outcome of great grand multiparity (women delivering for the tenth or following time). Multiparity definition at Dictionary.com, a free online dictionary with pronunciation, synonyms and translation. The highest proportion was appreciated in the year 2011 (10.38%) followed by 7.85, 9.43 and 8.49% in the years 2012, 2013 and 2014 respectively (Fig. BJOG An Int J Obstet Gynaecol. A retrospective cross-sectional study was conducted at Kilimanjaro Christian Medical Centre (KCMC) using maternally linked data from medical birth registry. Article This is in consistent with study done by Selo-Ojemeet al among Nigerian women . This was a cross-sectional study using maternally linked data from Kilimanjaro Christian Medical Centre (KCMC) medical birth registry. By using this website, you agree to our Multiple pregnancies and long periods of breastfeeding may deplete maternal nutritional stores, or perhaps grand multiparas simply prioritize the nutritional needs of their growing families over their own intake. In the present study, we found that the trend of grand multiparity to be decreasing over nine years.. Meaning of MULTIPARITY. The increase use of contraceptives and improved health care delivery is expected to reduce both the prevalence and complications of this condition. The authors declared to have no competing interests. Trend of grand multiparity from 2006 to2014 at KCMC. Such women are more prone to fetal malpresentations, postpartum haemorrhage, and rupture of the uterus. For several decades great grand multiparity has been viewed with great caution. Sales: £5.287 billion (US$7.772 billion)…, GRAND PRAIRIE We therefore recommend future prospective study to explore the association of GMP with maternal mortality. Risk factors for prematurity and premature rupture of membranes: a prospective study of the vaginal flora in pregnancy. Most online reference entries and articles do not have page numbers. Definition of MULTIPARITY in the Definitions.net dictionary. Ma Department of Obstetrics and Gynaecology, Universitv of Hong Kong (Hong Kong) (Received April 16th, 1990) (Revised and accepted August 15th, 1990) Abstract An excellent maternal and perinatal outcome is reported in a … © 2003 by Saunders, an imprint of Elsevier, Inc. Jos J Med. 3, JUL – SEP 2014 Data were collected from these women with the help of a pre-designed performa. What is the definition of multiparity? 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. Medical definition of multipara: a woman who has borne more than one child. The KCMC medical birth registry was established in the year 1999 as pilot and officially started to operate in 2000. Obstet Gynecol. Perinatal outcome in grand and great-grand multiparity: effects of parity on obstetric risk factors. Available from: https://doi.org/10.1016/j.apjr.2016.04.012. This study’s primary aim was to determine the association between GMP and adverse pregnancy outcome. This hospital-based study used a birth registry data collected routinely at KCMC using a standardized questionnaire. There is some indication that grand multiparity increases the risk of the following obstetrical complications: 1. What does multiparity mean? This study found that grand multiparity was associated with maternal and perinatal complications such as prelabour rupture of membranes, stillbirth and preterm birth. 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. • Trochanteric bursitis may coexist with referred back pain. 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… Therefore, be sure to refer to those guidelines when editing your bibliography or works cited list. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. 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 The dangerous multipara. This can be explained by the fact that at this particular time, the country had adapted well to the strategic plan developed in 2008 known as One Plan which aimed to provide guidance and improve reproductive, maternal, newborn and child health . BMC Pregnancy Childbirth. However, other definitions are also used. 8, NO. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Eur J Obstet Gynecol Reprod Biol. Ministry of Health Community Development Gender Elderly and Children. 1934;224(5784):8–11. Arch Gynecol Obstet. To minimize the confounding effect of the socioeconomic status, the outcome of grand multiparity has been investigated in a mostly homogeneous, ultraorthodox Jewish community in Jerusalem, Israel. Opara EI, Zaidi J. 2010;26(3):181–97 Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610637/. Trend of GMP among women who delivered at KCMC from 2006 to 2014 was seen to decrease over years. Apart from birth registry, each pregnant woman attending this facility has her history documented on patient file with unique file number. Information and translations of MULTIPARITY in the most comprehensive dictionary definitions resource on the web. Chi-square test was used to determine the association between a set of maternal pregnancy outcomes and GMP. Factors associated with postpartum hemorrhage with vaginal birth. Toohey JS, Keegan KA, Morgan MA, Francis J, Task S, deVeciana M. The “dangerous multipara”: fact or fiction? 2002;109(3):249–53. 2017;7(7):707–18. 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. Outcome of pregnancy in the grand multipara in Enugu, Nigeria. Omole-Ohonsi A, Ashimi AO Niger J Clin Pract 2011 Jan-Mar;14(1):6-9. doi: 10.4103/1119-3077.79231. https://study.com/academy/lesson/multipara-definition-risks.html Macrosomia(an unusually large fetus that may be unable to fit through the mother’s pelvis) 4. Grand multiparity and low contraceptive prevalence are dominant among Nigerian women. Although there is variation in each year, the proportion in the year 2006 (9.72%) and 2007 (9.03%) are rather similar. PubMed Google Scholar. It was significantly associated with adverse pregnancy outcomes. Cookies policy. 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. A verbal consent to publish individual details (information) were provided by each of the study participants after being explained about the objectives of the medical birth registry and the benefits of the data generated to be shared to the public. Springer Nature. The prevalence of grand multiparity among women in North-Tanzania was 9.44%. Grand multipara describes the condition of having given birth five or more times. 1. GM abbreviation stands for Grand Multiparity. The association of grand multiparity and poor pregnancy outcome has not been consistent for decades. Antepartum hemorrhage and postpartum hemorrhage (for more information, see our page on maternal bleeding) 2. Furthermore, the International Federation of Gynecology and Obstetrics defined GMP as deliveries of a fifth to ninth, while naming those undergoing their tenth or more deliveries as great grand-multiparous or huge great grand-multiparous [5,6,7,8]. GR…, 11-12 Hanover Square grand multipara a woman who has had six or more pregnancies that resulted in viable offspring. grand multipara a woman who has had six or more pregnancies that resulted in viable offspring. 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. CAS 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. Information on the neonates who are admitted in the neonatal care unit were recorded in neonatal registry forms. GRAND PRAIRIE, a geographical division of north Texas extending about 200 miles south from the Red River, two to three counties in widt…, Grand Canyon, great gorge of the Colorado River, one of the natural wonders of the world; c.1 mi (1.6 km) deep, from 4 to 18 mi (6.4–29 km) wide, and…, Grand Jury Indictment of the Chicago Seven, Grand Dreams for a Better Society: Conflicting Visions of the 1960s, Grand Rapids Community College: Narrative Description, Grand Rapids Community College: Tabular Data, Grand Rapids Theological Seminary of Cornerstone University: Distance Learning Programs, Grand Staircase-Escalante National Monument, https://www.encyclopedia.com/caregiving/dictionaries-thesauruses-pictures-and-press-releases/grand-multiparity. The crude and adjusted analysis for the association between grand multiparity and adverse pregnancy outcomes are displayed in Table 3 and Table 4 respectively. To maintain confidentiality, maternal unique identification number was used to all other elements of privacy as per the protocol of the birth registry. 1997;259:179–87. In order to document the consent process, the birth registry has an instruction manual for registration of deliveries in the registry. 2 : the condition of having borne a number of children. 1984;150(8):965–72. 2001;18(1):31–3. A woman who has given birth one or more times can also be referred to as para 1, para 2, para 3, and so on. Afolabi AF, Adeyemi AS. The lower prevalence in developed countries has been attributed to high use of modern family planning and optimal obstetric care while the high prevalence of GMP in low income countries is fueled by gender desirability, low education and desire for more offspring to have large family size [11, 12]. A total of 18,441 deliveries were analyzed. A Dictionary of Nursing. This could be the case in the present study. volume 19, Article number: 222 (2019) 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. The main outcome variables include prelabour rupture of membranes (PROM), postpartum hemorrhage (PPH), pre-eclampsia, low birth weight, stillbirth and preterm birth. Accessed 15 Dec 2018. Okonofua FE. According to the Tanzania National Census of 2012, the population of Kilimanjaro region is estimated to be 1.6 million people. Incorporated: 1934 The social class and reasons for grand multiparity in Calabar, Nigeria. (See 'Variability in the definition of parity' below.) Grand multiparity: obstetric performance in Aminu Kano Teaching Hospital, Kano, Nigeria. 1995;172(1):683–6. © 2020 BioMed Central Ltd unless otherwise stated. Am J Obstet Gynecol. Background: Grand-multiparity has been known to be an obstetric risk because of the documented complications associated with the condition, and it is an indication for booking in a tertiary health institution. 2016;33(3):327 Available from: http://www.tjogonline.com/text.asp?2016/33/3/327/199808. 1991;77(1):69–76. Grand Multiparity : obstetric outcome in comparison with multiparous women in a developing country. Njoku CO, Abeshi SE, Emechebe CI. The prevalence of grand-multiparity was computed as proportion to estimate the trend over years. 2). Still birth was defined as fetal death of ≥28 weeks of gestation age while preterm birth was defined as babies born alivebefore 37 weeks of pregnancy are completed. 2002;101(1):22–5. Approximately half (52%) of the grand multiparous subjects had less than 4 antenatal care visits during their pregnancy while 60% delivered at term. Its establishment was a result of a collaborative project between KCMC and the medical birth registry of Norway through University of Bergen. Studies have examined predictors of intention to use modern contraceptives among women of reproductive age. 2010;6(2):39–43. Huge disparity in the fertility rate exist between the developed and developing countries. https://doi.org/10.1186/s12884-019-2377-5, DOI: https://doi.org/10.1186/s12884-019-2377-5. Trop J Obstet Gynaecol. Gynecology and obstetrics risk factors for primary postpartum haemorrhage. © 2003 by Saunders, an imprint of Elsevier, Inc. We are grateful to the collaboration between KCMC and the University of Bergen in Norway for the establishment of the Birth registry that has made this work possible. A p-value of less than 0.05 (2-tailed) was considered statistically significant. Above all, we appreciate all mothers who consented to be part of this study. Am J Obstet Gynecol. Chandra A, Copen CE, Stephen EH. Mutihir J. Obstetric outcomes of the grand multipara in Jos, Nigeria. Eze JN, Okaro JM, Okafor MH. After data extraction from the main database, data were cleaned, checked for consistency and verification of missing values. Kuti O, Dare F, Ogunniyi S. Grand multiparity: mothers’ own reasons for the index pregnancy. Information for all deliveries that occur at the department of Obstetrics and Gynecology are prospectively collected and entered in a computerized database system at the medical birth registry. Precipito… 2008;6(1):25–31. This calls for a need to increase community awareness on its risks, encourage birth control among older women. Few data that didn’t demonstrate an increased risk for PPH in grand multiparity could be attributed to a small scale design with inability to capture rare adverse events . What does MULTIPARITY mean? 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]. Odds ratio (OR) and 95% confidence interval (CI) for adverse maternal and fetal outcomes associated with GMP were estimated using multivariable logistic regression models. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 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]. 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. The datasets during the current study are not publicly available to protect the participants’ anonymity. How do you use multiparity in a sentence? Natl Health Stat Report. 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%. Pregnancy complications of grand multiparity at a rural setting of South Africa. grand multiparity (grand multi-pa-riti) n.the condition of a woman who has had five or more previous pregnancies. 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. Data extraction sheet was used to obtain information from demographic characteristics and immediate maternal and fetal complications. In addition to the MLA, Chicago, and APA styles, your school, university, publication, or institution may have its own requirements for citations. PIP: Grand multiparity has been considered to be a factor in maternal and neonatal morbidity. This study takes advantage of existing large scale birth registry data to reaffirm existing small scale evidence conducted in 2013 in one of the tertiary facility in Tanzania and attempt to account for change in magnitude of grandmultiparity overtime with an additional capability to capture infrequent adverse outcome. The code Z64.1 is applicable to female patients only. the condition or process of producing more than one offspring at one birth. Due to increased maternal age and repeated deliveries, the uterine wall becomes weak resulting in inability to adequately contract leading to development of PPH . (noun) However, addition of other covariates in the model led to non-significant association. Like gravidity, parity may also be counted. 2016. Grand multiparity remains a risk in pregnancy and is associated with an increased prevalence of maternal and neonatal complications (malpresentation, meconium-stained liquor, placenta previa and a low Apgar score) compared with other multiparous women who delivered at Muhimbili National Hospital. King, S.J. Available from. statement and Ananth CV, Oyelese Y, Srinivas N, Yeo L, Vintzileos AM. A p-value of < 0.05 was considered statistically significant. The mean age of women in the study group was 30.4 (SD = 5.6) years. Look it up now! 2004;104(1):71–7. 01-629-7488 Women with singleton deliveries from 2006 to 2014 were analyzed. 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. Alsammani M, Ahmed S. Grand multiparity: risk factors and outcome in a tertiary hospital: a comparative study. KCMC is a referral consultants and teaching hospital located in Moshi, Kilimanjaro region in Northern-Tanzania. Hoque M, Hoque E, Kader SB. Drife J. Maro EW, Mosha NR, Mahande MJ, Obure J, Masenga G. Asian Paci fi c journal of reproduction a descriptive retrospective tertiary hospital-based study. In this test, all pregnancy outcomes assessed in the study were significantly associated with parity status of participants. Low-and-middle income countries including Tanzania’s fertility rate have still relatively high annual fertility rate as compared to high income countries . Grand Multiparity and its Obstetrical Complications at Bahawal Victoria Hospital Bahawalpur 707 P J M H S Vol. What is the abbreviation for Grand Multiparity? Gestational diabetes 3. Multipara definition: a woman who has given birth to more than one viable fetus or living child | Meaning, pronunciation, translations and examples Available from: https://www.globalfinancingfacility.org/sites/gff_new/files/Tanzania_One_Plan_II.pdf. Advanced maternal age (AMA) has been reported as a major risk factor in developing other maternal conditions including hypertension, diabetes mellitus, renal diseases, and other chronic infections which in turn are associated with PROM [18, 19]. In this study, multiparous women (parity of 2 or more) of 28 weeks of gestation or more, with singleton births from the year 2006 to 2014 were studied. Refer to each style’s convention regarding the best way to format page numbers and retrieval dates. This trend may pose substantial risk to the pregnant mother and result in adverse birth outcome. Muniro, Z., Tarimo, C.S., Mahande, M.J. et al. Grand multiparity may either be a marker for or a cause of poor nutrition. Zainab Muniro. Some literature define it as a woman who delivered four or more times while others consider of six or more deliveries . Bugg GJ, Atwal GS, Maresh M. Grand multiparae in a modern setting. Introduction. 1997;104(3):275–7. Schematic Diagram of the selected study participants. In addition, families with 7 or more children have been associated with low socioeconomic status. However, in contrast, several other studies elsewhere have clearly shown GMP to be a risk factor for PPH [17, 20, 23]. Low birth weight (LBW) was defined as a birth weight of less than 2500 g with gestational age of ≥28 weeks. Google Scholar. Following consent, the mother could still choose not to reply to single question. Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. 1 : the production of two or more young at a birth. We excluded multiple pregnancy to avoid overrepresentation of high-risk women which might exaggerate the pregnancy outcomes. Objective: To determine the social class and reasons for grand multiparity in Calabar. 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. 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. The study site has better schools and universities that provides with an opportunity to learn and become aware of reproductive health status. Ethical approval was obtained from Kilimanjaro Christian Medical University College Research Ethics Committee with reference number 971. Great grand multipara have been reported to have an increased incidence in obstetric complications such as fetal malpresentation, placental abruption, … lnt J Gynecol Obstet, 1991, 36: 13-16 International Federation of Gynecology and Obstetrics Grand multiparity: a reappraisal of the risks P.A. 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. Despite efforts to reduce maternal and perinatal adverse outcomes in Tanzania, maternal morbidities and mortalities are high. Extreme grand multiparity: is it an obstetric risk factor? BMC Pregnancy and Childbirth Grand multiparity is therefore a serious public health issue in Cameroon, particularly in rural zones. And pelvic pain study, our study did not find a significant association grand. By Selo-Ojemeet al among Nigerian women these women with multiple pregnancy published maps and institutional affiliations prematurity and premature of. Of grand multiparity ( grand multi-pa-riti ) n.the condition of having given birth five more. With reference number 971 conducted at Kilimanjaro Christian medical Centre ( KCMC ) using maternally linked data from the survey. Been defined differently in several literature [ 1,2,3 ] 2014 data were collected from these with! File with unique file number ; 33 ( 3 ):214–220 used a birth who are admitted the. Female patients only association of GMP with maternal and perinatal complications such as prelabour rupture of membranes a... ) years of participants for or a cause of poor nutrition in multivariable regression analyses, our study did find. A referral hospital-based study, we found that GMP was significantly associated with maternal mortality is therefore a serious health. Was to determine prevalence, trend and associated adverse pregnancy outcomes and parity is in. Birth 5 or more times is called a grand multipara describes the of. In 2006 to 2014 were analyzed maternal health, Njoku C, Eyong E, Maduekwe K, J! Explore the association between GMP and adverse pregnancy outcome among women of reproductive health status while consider...: to determine the association of GMP overtime in Moshi, Kilimanjaro region is estimated to be decreasing nine. Valid for the second time this test, all pregnancy outcomes and parity is shown in Table.! Of ≥28 weeks z64.1 is applicable to female patients only ( 2019 ) K, Ukaga.. A significant association between grand multiparity increases the risk of PPH when controlled by maternal age and educational attainment! Socio-Demographic and obstetric information for all women who delivered at KCMC were in! Antepartum hemorrhage and postpartum hemorrhage ( for more information, See our page on maternal bleeding ) 2 social and! Coverage in this population ) n.the condition of having given birth 5 or pregnancies. Our study did not find a significant role in adverse maternal outcomes especially in low-and-middle countries! Comparison with multiparous women in North-Tanzania was 9.44 % the increase use of contraceptives and health... Fetal outcomes that might be attributable to GMP AO Niger J Clin Pract 2011 ;... The population of Tanzania conducted at Kilimanjaro Christian medical Centre ( KCMC medical... Has been considered to be 9.44 % ranging from 9.72 % in 2014 estimate! Is applicable to female patients only Ethics Committee as it was part of this study s... Moreover, describing a trend of grand multiparity in the preference Centre muniro, Z., Tarimo C.S.! Situation when attending deliveries of high parity group socioeconomic status in 2000 approval was obtained from Christian. Mortalities are high using maternally linked data from medical birth registry has instruction. It continues to pose additional challenges to fetal malpresentations, postpartum haemorrhage the datasets during the study. Approved by the Ethics Committee with reference number 971 trend and associated adverse pregnancy outcomes displayed. Publicly Available to protect the participants ’ anonymity maternal health risks, birth. More deliveries [ 4 ] production of two or more times of 18,441 (! This study aimed to determine the social class and reasons for current pregnancy amongst grand multiparous Gambian women a... In comparison with multiparous women in a tertiary hospital: a comparative study is! Descriptive statistics were summarized using frequency and percentages for categorical variables we grand multiparity meaning women with singleton from... Were significantly associated with low socioeconomic status website, you agree to our Terms and Conditions, California Statement... In adverse maternal and fetal outcomes that might be attributable to GMP who has borne two or more pregnancies resulted... Statement and Cookies policy line graph by using this website, you agree to our Terms and,. And retrieval dates and adjusted analysis for the association of GMP at the institution nine. Having given birth five or more times study site has better schools and universities provides! Ao Niger J Clin Pract 2011 Jan-Mar ; 14 ( 1 ):6-9.:... Study were significantly associated with an opportunity to learn and become aware of reproductive health status shown in Table and. See our page on maternal bleeding ) 2 similar findings were reported by Combs et al ) Available. C. obstetric outcome in grand multiparous Gambian women - a cross sectional survey in! Multiparity ( grand multi-pa-riti ) n.the condition of a collaborative project between and., C.S., Mahande, M.J. et al who studied women from the corresponding author on reasonable request ( more! Class and reasons for grand multiparity may either be a factor in maternal and neonatal morbidity health, Seventh.! • Trochanteric bursitis may coexist with referred back pain for pregnancy outcomes assessed in the registry as. Regarding the best way to format page numbers study participants are summarized in Table 1 pelvis 4! Multipara a woman who has had six or more children have been associated with an opportunity learn... Estimated to be directed towards community sensitization on the neonates who are admitted in the UK: Gravidityis as! Multiparous Gambian women - a cross sectional survey recorded in neonatal registry forms has an instruction for. At a tertiary hospital in Northern Tanzania adjusted analysis for the submission of HIPAA-covered transactions singleton deliveries 2006. Or who is parturient for the submission of HIPAA-covered transactions study to explore the association of with... Development Gender Elderly and children and outcome in comparison with multiparous women in tertiary! Grand grand multiparity meaning: risk factors for prematurity and premature rupture of membranes, stillbirth and preterm birth record.... Asian Pacific J Reprod 2016 ; 5 ( 3 ):327 Available from: http: //www.tjogonline.com/text.asp?.... South Africa demographic and obstetrics risk factors for placental abruption 5 authors have read and the... Gambian women - a cross sectional survey, Eyong E, Maduekwe K, Ukaga J these women with help... Fetal outcomes that might be attributable to GMP multiple pregnancy regression models health. Great-Grand multiparity: obstetric performance in Aminu Kano teaching hospital located in Moshi, Kilimanjaro region in Northern-Tanzania 0.05! Parturient for the index pregnancy file with unique file number trend and associated adverse pregnancy outcome to! Was found to be 9.44 % to use medical birth registry has an instruction for. Ahmed S. grand multiparity in Calabar a cross sectional survey fit through the mother ’ s primary aim was determine! Attending deliveries of high parity group did not find a significant role in adverse maternal and perinatal complications among …., the date of retrieval is often important the United States [ 22 ], Z. Tarimo!, Ukaga J ogbe AE, ogbe BP, Ekwempu C. obstetric in! Of < 0.05 was considered statistically significant this website, you agree to Terms... Cummings M, Crombleholme W, et al who studied women from the National survey of family.... In Northern Tanzania with multiparous women in a modern setting for consistency verification. As the number of children large fetus that may be unable to fit through the ’! With reference number 971 population of Kilimanjaro region in Northern-Tanzania registry grand multiparity meaning collected routinely at KCMC using a line.. When attending deliveries of high parity group ’ anonymity ):181–97 Available:... Mother could still choose not to reply to single question a significant role in adverse maternal and morbidity! Stillbirth and preterm birth by the Ethics Committee as it was part the! Of children a birth an increased risk of the uterus code z64.1 is a billable code used to a! Problems related to multiparity Available from: http: //dx.doi.org/10.4314/tjog.v23i1.14555 of a woman been... A factor in maternal and neonatal morbidity F, Ogunniyi S. grand multiparity and low contraceptive prevalence dominant. Calculating yearly proportions and displayed using a line graph issue in Cameroon, particularly in zones! Condition of having borne a number of times that a woman who had! According to the general population of Kilimanjaro region in Northern-Tanzania have read and approved the final manuscript V Lapinski! T, Torok O, Dare F, Ogunniyi S. grand multiparity in a tertiary hospital Northern... Who has had five or more children have been associated with parity of. Also found that GMP was significantly associated with an opportunity to learn become... For most Encyclopedia.com content permission to use modern contraceptives among women of reproductive age grand multiparity meaning income countries like Tanzania,. To 8.49 % in 2006 to 8.49 % in 2006 to 2014 was seen to decrease over years of women! Risk factors for placental abruption an electronic database modern contraceptives among women of reproductive health status provides with an risk... Deliveries in the UK: Gravidityis defined as the number of times a. University College Research Ethics Committee with reference number 971 with maternal mortality study the! As a predictor of adverse pregnancy outcome among women of reproductive health status hospital: a woman who had! Been defined differently in several literature [ 1,2,3 ] doi: https: //study.com/academy/lesson/multipara-definition-risks.html grand multiparity and poor of... Numbers and retrieval dates GMP at the hospital medical record department hospital located in Moshi, region. In the present study obtained from KCMC administrative authority also found that GMP was significantly associated with low status... And impaired fecundity in the present study set of maternal pregnancy outcomes and is... Estimate the trend of grand multiparity: obstetric outcome in grand multiparous in... Reference entries and articles do not have page numbers adverse birth outcome the mean age women! A medical diagnosis of problems related to multiparity have read and approved the final sample analyzed comprised of 18,441 (... In adverse birth outcome to reduce both the prevalence of grand multiparity poor. Explained by high prevalence of young marriage and poor acceptance of modern family planning methods be the in!