Regarding systemic complications grand multiparas are at high risk of developing hypertension, diabetes, anemia and obesity.
Anemia in grand multiparas is due to frequent pregnancies, poverty and malnutrition12.
Placenta previa is commonly encountered in older grand multiparas.
4,5,6 The fetus/neonate of the grand multipara is also at a higher risk of low birth weight, preterm birth and congenital malformations.
In the history of subcontinent, the well known example of grand multipara is Mumtaz Mahal, who died of post partum haemorrhage after the birth of her fourteenth child.
The grand multipara is often considered a clinical entity as certain complications during pregnancy; delivery and puerperium are thought to occur with increased risk in these women1,5,6.
The main aim of our study was to determine whether grand multipara were really at high risk for intrapartum and neonatal complications or not and also to provide information that can be used by clinicians to treat grand multipara with adequate care for selective complications while avoiding unnecessary procedures and cost.
Sample and Sampling Technique: sample comprised of 30 grand the multipara women and 30 great grand multipara women who were admitted to maternity unit.
Grand multipara women and great grand multipara women who are delivering after 28 weeks of gestation.
In this period total 327 grand multipara patients was admitted.
Among 252 antenatal grand multipara 239 cases had complication in the antepartum period.
There are several factors responsible for the high prevalence of anaemia in LMICs such as SA: socioeconomic deprivation, malnutrition, high incidences of malaria and HIV infection, hookworm infestation, high numbers of grand multiparas
, late booking, and inadequate child spacing because of lack of family planning.