May 9, 2016 May 9, 2016 admin. MATERNAL COMPLICATIONS IN GRAND MULTIPARA. The grand multipara--maternal and neonatal complications. One mother in the grand multipara group died from dissecting aortic aneurysm during the puerperium. Study Design: Cross Sectional Study Setting: Department of Gynecology & Obstetrics at Liquate University of Medical & Health Science Hyderabad, Period: October 2011 to September 2012. Also other complications like hypertension and diabetes were significantly higher in grand multipara than non grand multipara. The term, grand-multipara was introduced in 1934 by Solomon who called the grand-multipara the “dangerous Issue 1, Vol 22 Post navigation. Most of the studies9,13,14 conducted over the last few Great grand multipara have been reported to have an increased incidence in obstetric complications such as fetal malpresentation, placental abruption, dysfunctional labor and postpartum hemorrhage. 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. Risk factors in extreme grand tiparous women. Acta Obstet Gynecol Scand 1987;66:53–6. Download the PDF file . For the grand multipara, the rate of spontaneous abortion was higher (24%) compared to total deliveries (13%) in that hospital during the study period. > MATERNAL COMPLICATIONS IN GRAND MULTIPARA. ABSTRACT Objective: The objective of this study was to assess the frequency of maternal complications in grand multipara. obstetrical complications in multiparous and grand mul- [13] Fayed HM, Abib SF, Stevens B. Anemia was the leading predelivery complication for the study group (16.6% vs. 3.5% for total deliveries). These authors reported a similar rate of complications. However, a number of reports have recently appeared in the literature suggesting that this might be fiction rather than fact [1] . Preeclampsia followed as the 2nd leading complication (6.1% vs. 5.2% for total deliveries). Evaldson12et al also observed the higher frequency of diseases like diabetes and hypertension in the grand multipara group. A grand … an obstetric complication for both mother and fetus, although recent studies indicate that, with proper peri-natal care, women with high-parity rates are no longer at high risk in developed countries. Grand multiparity has been associated with an array of obstetrical complications, but with appropriate medical care, many grand multiparas have very successful pregnancies. Citing Literature. grand multipara. Tanbo TG, Bungum L. During the period of 1974-83 the records of all grand multiparous women were analysed and compared with an equally large control group consisting of second and third parae. 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