Most of grand multipara cases belong to age group between 26-30 years.
Anaemia is the most common maternal complication because repeated pregnancies within a short span of life along with poverty, poor hygienic conditions, nutritional deficiency, wide spread gastrointestinal disorders and round and hook worm infestation were the major causes of anaemic which were observed in the grand multipara women (6).
A descriptive study: maternal and fetal outcome of grand multipara. Int J Reprod Contracept Obstet Gynecol 2015; 4:219-23.
Regarding systemic complications grand multiparas are at high risk of developing hypertension, diabetes, anemia and obesity.7 While regarding obstetric complications these women are at increased risk of malpresentations, obstructed labour, placenta previa, placenta abruption, retained placenta, ruptured uterus, post partum hemorrhage, caesarian sections and caesarian hysterectomy.
Ectopic pregnancy was observed to be 52 (34.66%) in primipara, 71 (47.30%) in multipara, and 27 (18.80%) in grand multipara
. (Table 2)
Multiparity in our society is not by choice; this results in a high birth rate and so many young women become grand multipara
. This process causes short birth intervals, eventually jeopardising the health of the mother and her offspring.
Patients and Methods: One hundred (100) patients of grand multipara
(GMP), (parity = 5) and 100 patients of multipara (MP) (parity 2-4) were included in the study.
Patients and methods: Sixty five grand multipara
(Para Greater than 5) and 65 multipara (Para 2-4) aged between 20 to 40 years, with singleton pregnancy of up to 40 weeks and presenting in spontaneous labour were selected.
Petry and Peterson11, Nelson and Sand Megu have also found significant increase in the number of over weight babies among grand multipara
Mostly women were from rural areas of Sindh (58.33%) and had a parity of 1-4(92.36%), while 7.63% were grand multiparas
Six hundred and one primigravidas and 302 grand multiparas
were included in the study.
Postpartum haemorrhage occurred with significant higher frequency in grand multiparas